Open AccessAnal fissures: Open lateral internal sphincterotomy results
Author(s) -
Abdulwahid M. Salih
Publication year - 2015
Publication title -
journal of epidemiological research
Language(s) - English
Resource type - Journals
eISSN - 2377-9330
pISSN - 2377-9306
DOI - 10.5430/jer.v2n1p87
Subject(s) - medicine , anal fissure , surgery , medical record , fecal incontinence , patient satisfaction
Background: Lateral Internal Sphincterotomy is the procedure of choice for chronic anal fissure because it relieves symptoms andheals the fissure in nearly all patients. However, data on its postoperative complications are limited particularly fecal incontinence.Therefore, the aim of this study is to investigate the results of this procedure in terms of recurrence rate, complications and patientsatisfaction.Methods: The medical records of 80 patients from 4 centers were collected during 20 months and evaluated retrospectively.Results: Incontinence was observed in 2 (2.5%) patients. The patients were discharged at the same day of the operation. Duringthe average follow-up of 24 months, two patients (2.5%) developed recurrent disease. In addition, patients’ satisfaction was high(95%).Conclusions: Lateral internal sphincterotomy is the procedure of choice for chronic anal fissure because it relieves symptomsand heals the fissure in nearly all patients with very low rate of complications, negligible recurrence and good patient satisfaction.