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Comparative study between closed vs open lateral internal sphincterotomy in treatment of chronic anal fissure
Author(s) -
Sadiq Husain Kachavi,
Praveen S Mali,
Meti B Manjunath
Publication year - 2022
Publication title -
international journal of health sciences (ijhs) (en línea)
Language(s) - English
Resource type - Journals
eISSN - 2550-6978
pISSN - 2550-696X
DOI - 10.53730/ijhs.v6ns1.6293
Subject(s) - medicine , surgery , anal verge , seroma , hematoma , anal canal , anal fissure , anal stenosis , rectum , hemorrhoids , complication , colorectal cancer , cancer
Background: Anal ssure is a benign yet highly prevalent condition that can cause considerable pain and discomfort. It is a longitudinal Split or tear of the anal canal extending proximally from the anal verge towards the dentate line. Objectives: To compares the open and closed techniques of lateral internal sphincterotomy and study which method is better among open vs closed lateral sphincterotomy. Material & Methods: Patients admitted in Bowring and Lady Curzon hospital and Victoria hospital attached to Bangalore Medical College and Research Institute from November 2015 to May 2017 were studied (n=60). Thirty patients underwent closed and thirty underwent open lateral internal sphincterotomy out of 60 after informed written consent. Results: Post operative pain after 48, 60, 72 and 96 hours was less in closed group along with seroma, hematoma and abscess.  Conclusion: we observed that closed lateral internal anal sphincterotomy is better than open technique.

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