background medical sphincterotomy has gained popularity as a treatment for anal fissure. calcium channel blockers in topical forms could also be appropriate with low adverse effects. objectives this was a prospective randomized controlled trial to compare topical and oral nifedipine in the treatment of chronic anal fissure. patients and methods a prospective randomized controlled trial was cond...

chronic anal fissure is the most common cause of anal pain associated with internal anal sphincter hypertonia. reduction of hypertonocity is a special treatment for fissure healing. for this purpose chronic anal fissures were conventionally treated by anal dilatation or by lateral sphincterotomy. however, both of these methods may cause a degree of incontinence in some patients. the uptake of m...

In ano-rectal disorders, incidences of piles and fissures are increasing in Indian population due to the western lifestyle. In surgery many methods are available for curing ano-rectal disorders but nowadays demand of Ayurveda and herbal preparation are increasing in society. In this study, Arshonyt forte tablet and ointment were tried in management of piles and fissure-in-ano. The study was ope...

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 contro...

Background: Fissure-in-ano is one of the most common benign anorectal disorders often encountered in surgical outpatient department. Various pharmacological agents and interventions have been tried management fissure ano. In this study we compared medical by topical diltiazem gel with established procedure lateral internal sphincterotomy (LIS) chronic anal fissure. Methods: A total 50 patients ...

An anal fissure is a longitudinal ulcerated area in the vertical axis of squamous lining canal between verge and dentate line, noted 10–15% proctological patients. Present study was aimed to study, acute fissure-in-ano relation clinical diagnosis management at tertiary hospital. hospital based prospective observational conducted patients 18-70 years age ( including males & females ), w...