Comparison of Open Lateral Sphincterotomy with Anal Dilation in the Treatment of Chronic Anal Fissure

Alijanpour, A; Farnoush, N; Alijanpour, K; Galeshi, M; Gholinia, H

Comparison of Open Lateral Sphincterotomy with Anal Dilation in the Treatment of Chronic Anal Fissure

Document Type : Original Article

Authors

A Alijanpour ¹

N Farnoush ²

K Alijanpour ³

M Galeshi ⁴

H Gholinia ⁵

¹ Assistant Professor, Department of General Surgery, Babol University of Medical Sciences, Ayatollah Rouhani Hospital, Clinical Research Development Unit

² Student Committee Research, Babol University of Medical Sciences, Babol, Iran

³ Student Research Committee, Babol University of Medical Sciences

⁴ Master of Midwifery, Babol University of Medical Sciences, Ayatollah Rouhani Hospital, Clinical Research Development Unit

⁵ Master of Science in Statistics, Babol University of Medical Sciences, Ayatollah Rouhani Hospital, Clinical Research Development Unit

Abstract

Introduction & Objective: Chronic and fissure is a benign lightly prevalent condition which present with pain f hemorrhage during defecation at first, we try to use conservative treatment for all the patient, If they don't cure, they can be done by open sphinctrotomy of and dilatation technique. In this study we compare the complication and outcome open sphincterotomy and dilatation. Materials & Methods: In this clinical trial study, 41 patients under went and dilatation and dilatation and 40 patients under went open spincterotomy. The hospital admission, duration of surgery, post-operative pain, and hemorrhage, late complication, recurrence and the return to habitual work were compared between them and dilation and open sphincterotomy. Results: The average time of surgery of and dilatation and open sphincterotomy were 38.2  0.55 and 1.1  0.38 minutes respectively. The difference was statically significant (P < 0.001). The duration of hospital admission was 2.7 + - 0.45 and 1.1 + - 0.35 days after and dilatation & open sphincterotomy respectively. Conclusions: The outcome both group almost was the same but the operation time and the beginning time and dilation was better than the sphincter. So and dilation seems a suitable alternative open sphincterotomy.

Keywords

Open Lateral Sphincterotomy

Anal Dilation

Chronic Anal Fissure

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