Early Lateral Internal Sphincterotomy Versus Conservative Treatment; Our Experience in Treatment of Chronic Anal Fissure in Qazi Hussain Ahmed Medical Complex Nowshera Pakistan

Background: A chronic anal fissure is a longitudinal tear in the anorectal area beneath dentate line contributing to pain and emotional stress during defecation. The present study aimed assess early surgery versus conservative treatment for managing fissures. Methodology: This randomized control trial was carried out on 150 fissures patients at Department of General Surgery, Qazi Hussain Ahmed Medical Complex, Nowshera, Pakistan from March 2020 September 2021. Patients were divided into two groups; Group-I comprised who treated conservatively Group II consisted underwent surgical intervention. above 15 years age fit enrolled. Chi-square test used correlating results using SPSS version 24. Results: Of total patients, there 132 (88%) male 18 (12%) female patients. overall mean Group-II 38.7± 6.5 39.6±3.67 years. prevalence posterior anterior located 136 (90.7%) 14 (9.3%) respectively. About 86 closed LIS, which 77 9 female. patient’s main complaints followed by bleeding. response rate relief treatments 79% group-I, I, I 97% group II. Conclusion: Our found that lateral internal sphincterotomy remains gold standard To avoid recurrence obtain best relief, LIS Keywords: Chronic fissure, Conservative treatment, intervention