Comparative study of lateral internal sphincterotomy versus local 0.2%glyceryl trinitrate ointment for the treatment of chronic anal fissure
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چکیده
منابع مشابه
Comparative study of lateral internal sphincterotomy versus local 0.2% glyceryl trinitrate ointment for the treatment of chronic anal fissure.
The gold standard surgical treatment of chronic anal fissure is lateral internal sphincterotomy which lowers the resting anal pressure and effectively heals the majority of fissures. Local application of 0.2% glyceryl trinitrate ointment has been used as an agent for chemical sphincterotomy, causing temporary alleviation of sphincter spasm and allowing the fissure to heal without compromising t...
متن کاملStudy of operated patients of lateral internal anal sphincterotomy for chronic anal fissure.
INTRODUCTION Anal fissure causes significant morbidity in the population. It is proposed that elevated sphincter pressures may cause ischaemia of the anal lining and this may be responsible for the pain of anal fissures and their failure to heal. When pharmacologic therapy fails or fissures recur frequently, lateral internal sphincterotomy is the surgical treatment of choice. MATERIAL AND MET...
متن کاملPresidential address. Lateral subcutaneous internal anal sphincterotomy for anal fissure.
AN ANAL FISSURE is ai1 ulcer of t h e a n a l canal which may extend from the anal verge to the dentate line. It is usually exquisitely painful, so the best treatment is that which is the most expedient but also provides negli#ble recurrence and minimal disability of anal function. Lateral subcutaneous internal anal sphincterotomy best fulfills these criteria and we strongly recommend it as the...
متن کاملchronic anal fissure: a comparative study of medical treatment versus surgical sphincterotomy
to determine whether the medical treatment of anal fissure can be an effective alternative for surgery methods: retrospectively, we randomly selected 190 patients being treated for anal fissure between the years 2005-2010 in 3 equal groups: group a: patients who received medical treatment with topical nitroglycerin, group b: patient treated with topical diltiazem, and group c: patients underwen...
متن کاملLateral subcutaneous internal sphincterotomy in the treatment of chronic anal fissure: our experience.
BACKGROUND Chronic anal fissure is the most common cause of anal pain associated with internal anal sphincter hypertonia. Reduction of hypertonia favours fissure healing. Temporary reduction in sphincter tone can be achieved by conservative treatment. Surgical sphincterotomy achieves permanent reduction of sphincter hypertonia and is very successful at healing anal fissures, but requires an ope...
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ژورنال
عنوان ژورنال: Bangladesh Medical Research Council Bulletin
سال: 1970
ISSN: 2224-7238,0377-9238
DOI: 10.3329/bmrcb.v34i1.1163