Combination of Botulinum Toxin and Topical Diltiazem Versus Lateral Sphincterotomy in Treatment of Chronic Anal Fissure
| Autor: | Ch Muhammad Aqeel, Humaira Alam, Pir Muneeb Rehman, Aqsa Jmail, Maham Qazi, Mohammad Aslam |
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| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Proceedings, Vol 37, Iss 1 (2023) |
| Druh dokumentu: | article |
| ISSN: | 1815-4905 2518-203X |
| DOI: | 10.47489/szmc.v37i1.337 |
| Popis: | Introduction: Chronic anal fissure (CAF) is a common anorectal condition with treatment modalities being introduced to avoid the complications of surgical intervention. Aims & Objectives: To compare LIS versus combination of botulinum toxin injection and topical diltiazem in terms of frequency of healing in patients with chronic anal fissure. The outcome was measured frequency of healing of CAF within four weeks after treatment. Study design was randomized controlled trial (RCT) Place and duration of study: The place was Surgical Department, Chaudhry Mohammad Akram Lahore. And duration of study is 6 months (1st Jan 2022 to 31stJune 2022) Material & Methods: Total 100 patients were enrolled and randomly allocated into two groups A& B (50 in each group). In Group A patients LIS (open technique) was performed. While in group B, patients were administered, 20 U of botulinum toxin A diluted in 2 ml normal saline was injected via 27 G insulin needle into the internal sphincter around the fissure area. Furthermore, diltiazem paste was applied twice daily up to two weeks. All patients were assessed for healing of the fissure weekly up to four weeks. Data was analyzed using SPSS version-24, P-value |
| Databáze: | Directory of Open Access Journals |
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