STUDY ON CHRONIC ANAL FISSURE FOR PARTIAL LATERAL INTERNAL SPHINCTEROTOMY

Dr. Samindra Nath Basak, Dr. Debarshi Jana

Abstract


Anal fissure is a very common acute condition that is presented in majority of the world population.
To evaluate the outcome of partial lateral internal sphincterotomy technique for chronic anal fissure.
100 Patients of chronic anal fissure attending general surgery OPD and admitted to General Surgery department of Vivekananda Institute of
Medical Sciences, Kolkata, West Bengal, India, West Bengal for sphincterotomy technique.
It was found that post-operative fissure healing rate was 99% at 6 weeks and the complete fissure healing rate was found at 10 weeks. Fissure
healing rate was statistically significant. Our study showed that post-operative no bleeding was 76% at 72 hours, 94% at weeks, 98% at 6 weeks
and 99% at 10 weeks. So bleeding was deceased during follow-up period which was statistically significant.
Postoperative one patient was anal incontinence fecal soiling and flatus, three patients were surgical site infection and all patients were no
recurrence during follow-up period


Keywords


chronic anal fissure , fissure healing, sphincterotomy technique, bleeding

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