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Anal Fissure is a commonest anal condition of world population and our country is not an exception Lateral Internal sphincterotomy is a surgical option recommended and accepted worldwide.The aim of my study is to compare simple digital anal dilatation versus lateral internal sphincterotomy in terms of final outcome of both the procedure.This study is carried out at singhpur nursing home muri jharkhand during the period of november 2015 to october 2016.A total of 116 patients with idiopathic anal fissure were included in this study of Literal internal sphincterotomy versus simple anal dilatation carried out at our hospital. Operations were performed under Low Spinal anaesthesia and the patients reviewed three weeks later. Altogether 60 patients were treated by lateral Internal sphincterotomy and 56 by anal dilatation. No serious complications were observed in either group. Two recurrence was observed in the group treated by sphincterotomy, whereas Sixteen recurrence in the other group (p<005). Functional results with respect to impaired control of flatus and soiling of underwear were significantly better after sphincterotomy (p <0 002). It is concluded that lateral Internal sphincterotomy is the treatment of choice for idiopathic anal fissure resistant to conservative measures.

Lateral Internal Sphincterotomy Versus Anal Dilatation In The Treatment of Fissure In Ano-A Single Centre Experience.