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Online Publishing Date:
31 / 10 / 2023

 


Lateral internal sphincterotomy vs anal dilatation in chronic anal fissure: A comparative study

Amit Garg, Hanuman Khoja, Akshita Bhat, Rajendra Prasad Bugalia.


Abstract
Introduction: Anal fissures are a common problem with widespread presence in young adults and middle-aged people. After the failure of the conservative method, there is a need for a good surgical procedure. The aim of this study is to determine the better surgical outcome between LIS and AD.
Material and methods: This is a prospective observational hospital-based study that included 65 patients with CAF in each LIS and AD group. They were followed for 3 months post-op for recurrence, pain relief, and ulcer healing. The study was conducted after approval from the ethics committee.
Result: By the end of the 2nd week, 99% of patients in the LIS group showed pain relief with a median VAS score of 1 and an IQR of 0–1, while 93.84% of patients in the AD group had a median VAS score of 1 and an IQR of 0-2. (p-value=0.013). At one month post-op 100% of patients in the LIS group show healing of ulcers, while to 92.3% in the AD group. (p-value=0.068). At the 3rd month, the LIS group shows 4.6% recurrence, while it is 27.7% in AD group, which is significantly higher with a p-value>0.001.
Conclusion: Both surgical procedures are good for ulcer healing and pain relief, but LIS shows significantly higher pain relief than AD. In terms of recurrence, LIS is a significantly better procedure than AD. Overall, LIS is a superior procedure for CAF to AD.

Key words: CAF: chronic anal fissure, AD: anal dilatation, LIS: lateral internal sphincterotomy.


 
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How to Cite this Article
Pubmed Style

Garg A, Khoja H, Bhat A, Bugalia RP. Lateral internal sphincterotomy vs anal dilatation in chronic anal fissure: A comparative study. Int J Surg Med. 2023; 9(5): 34-38. doi:10.5455/ijsm.136-1677242848

Web Style

Garg A, Khoja H, Bhat A, Bugalia RP. Lateral internal sphincterotomy vs anal dilatation in chronic anal fissure: A comparative study. https://www.ejos.org/?mno=144555 [Access: February 19, 2024]. doi:10.5455/ijsm.136-1677242848

AMA (American Medical Association) Style

Garg A, Khoja H, Bhat A, Bugalia RP. Lateral internal sphincterotomy vs anal dilatation in chronic anal fissure: A comparative study. Int J Surg Med. 2023; 9(5): 34-38. doi:10.5455/ijsm.136-1677242848


Vancouver/ICMJE Style

Garg A, Khoja H, Bhat A, Bugalia RP. Lateral internal sphincterotomy vs anal dilatation in chronic anal fissure: A comparative study. Int J Surg Med. (2023), [cited February 19, 2024]; 9(5): 34-38. doi:10.5455/ijsm.136-1677242848


Harvard Style

Garg, A., Khoja, . H., Bhat, . A. & Bugalia, . R. P. (2023) Lateral internal sphincterotomy vs anal dilatation in chronic anal fissure: A comparative study. Int J Surg Med, 9 (5), 34-38. doi:10.5455/ijsm.136-1677242848


Turabian Style

Garg, Amit, Hanuman Khoja, Akshita Bhat, and Rajendra Prasad Bugalia. 2023. Lateral internal sphincterotomy vs anal dilatation in chronic anal fissure: A comparative study. International Journal of Surgery and Medicine, 9 (5), 34-38. doi:10.5455/ijsm.136-1677242848


Chicago Style

Garg, Amit, Hanuman Khoja, Akshita Bhat, and Rajendra Prasad Bugalia. "Lateral internal sphincterotomy vs anal dilatation in chronic anal fissure: A comparative study." International Journal of Surgery and Medicine 9 (2023), 34-38. doi:10.5455/ijsm.136-1677242848


MLA (The Modern Language Association) Style

Garg, Amit, Hanuman Khoja, Akshita Bhat, and Rajendra Prasad Bugalia. "Lateral internal sphincterotomy vs anal dilatation in chronic anal fissure: A comparative study." International Journal of Surgery and Medicine 9.5 (2023), 34-38. Print. doi:10.5455/ijsm.136-1677242848


APA (American Psychological Association) Style

Garg, A., Khoja, . H., Bhat, . A. & Bugalia, . R. P. (2023) Lateral internal sphincterotomy vs anal dilatation in chronic anal fissure: A comparative study. International Journal of Surgery and Medicine, 9 (5), 34-38. doi:10.5455/ijsm.136-1677242848


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