Closed Versus Open Lateral Internal Sphincterotomy Technique in Treatment of Anal Fissure
نویسندگان
چکیده
Background: Although lateral internal sphincterotomy is an effective treatment of chronic fissure in ano, it’s of potential to better-done and lower complications. And the aim of this prospective randomized trial was to compare the effectiveness and morbidity of open and closed sphincterotomy in the treatment of chronic anal fissure. Methods: The two methods were compared in a randomized controlled single blind clinical trial, from among 76 patients with anal fissure who referred to our medical center from March 2004April 2006. Results: The fissure had healed in 45% of the study group compared to only 14% of the control group (P<0.01). Conclusion: Therefore closed lateral internal sphincterotomy is the recommended and preferred method of treatment for anal Fissure.
منابع مشابه
Study 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...
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