Closed vs Open Lateral Internal Sphincterotomy in Chronic Anal Fissure: A Randomized Study to Compare Post-Operative Complications and Results

Singh, Dr Akash Kumar

doi:10.18535/jmscr/v5i9.102

Cited by 4 publications

(2 citation statements)

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“…The results of present study are in agreement with the various studies. [3][4][5] In the present study, complete healing of fissure was observed in all patients in group A whereas in group B, 95% patients had complete healing of fissure at the end of six weeks of treatment which was statistically insignificant (p>0.05). Also, no patient had recurrence after 3 months of follow up.…”

Section: Resultscontrasting

confidence: 46%

“…The results of the present study are in conformity with the study conducted by Gupta et al 6 However, several studies have reported no difference in fissure healing after closed or open lateral internal sphincterotomy (LIS) and few of these studies have shown recurrence in both the groups. [3][4][5] Present study reported no complications in group A whereas in group B, 3 patients had early cut through of sutures at 1 st week, out of which one patient progressed to non-healing at the end of 6 weeks and another 2 patients had mild infection at suture line which was healed after giving proper antibiotic. Also, 2 patients had perianal hematoma on 1 st post-operative day in group B which was managed conservatively in one patient whereas in other patient drainage was done.…”

Section: Resultsmentioning

confidence: 63%

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Comparative study of closed versus open lateral internal sphincterotomy in the management of chronic anal fissure

Bansal¹,

Bansal²,

Bhardwaj³

2020

Int Surg J

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Background: Anal fissure is a painful tear in distal anal canal extending from just below the dentate line to anal verge. Patient presents with pain during or after defecation and passage of bright red blood per anus. Various studies investigating chronic anal fissures show a large variation in healing rates for different modalities. The present study was carried out to evaluate effectiveness of closed versus open lateral internal sphincterotomy in treatment of patients with chronic anal fissure.Methods: A prospective study was conducted in the Department of Surgery, Pt. B.D. Sharma PGIMS, Rohtak. Group A and group B included 20 patients each with chronic anal fissure and managed by closed and open lateral internal sphincterotomy respectively and effectiveness was evaluated with regards to fissure healing, pain reduction, recurrence and incontinence after surgical treatment.Results: The mean pain scores on visual analogue scale at end of 1 week in group A and group B was not found to be statistically significant, whereas it was found to be statistically significant at 3 week and at 6 weeks. Delayed healing was seen in 1 patient of group B, whereas no patient in group A had delayed healing or absence of healing postoperatively.Conclusions:There was a significant difference between closed and open methods of lateral internal sphincterotomy in terms of relief in post-operative pain but as a whole both techniques did not show any statistically significant difference in terms of fissure healing, postoperative complications or recurrence at 3 months.

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Section: Resultscontrasting

confidence: 46%

Section: Resultsmentioning

confidence: 63%

Comparative study of closed versus open lateral internal sphincterotomy in the management of chronic anal fissure

Bansal¹,

Bansal²,

Bhardwaj³

2020

Int Surg J

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A Prospective Study of Open Versus Closed Lateral Internal Sphincterotomy in Chronic Anal Fissures

Reyaz¹,

Kumari²,

Narayan³

et al. 2021

ijsr

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Background: Fissure-in-ano is a very common anal disorder which predominantly presents with severe pain. Lateral internal sphincterotomy remains the main treatment modality. This may be performed using open or closed method, each with their attendant complications. Objective: This prospective study compared the results and complications of open versus closed technique of lateral sphincterotomy in patients with chronic anal ssure. Materials and Methods:Atotal of 64 patients with chronic anal ssure were enrolled in this study. Of these, 34 patients underwent open lateral sphincterotomy, and 30 underwent closed sphincterotomy. They were followed up for 6 months postsurgery. The results and complications of the two groups were compared and statistically analyzed. Results: Post-operative complications such as pain, bleeding, infection, incontinence, and recurrence were compared between the two groups. Pain, bleeding, and incontinence to atus were signicantly lesser in the closed group (P < 0.05), while there was no difference in the incidence of infection and recurrence between the two groups. Conclusion: Closed lateral internal sphincterotomy is a better alternative compared to open sphincterotomy in the treatment of chronic anal ssures.

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Prospective Randomized Study Between Open vs Closed Lateral Anal Internal Sphincterotomy in Patients With Chronic Fissure in Ano at Skmch, Muzaffarpur, Bihar

Kate

Kumar

et al. 2021

ijsr

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Background: One of the most common cause of pain during defecation in young patients is chronic ssure in ano. Surgical treatment of choice for chronic ssure in ano is internal sphincterotomy. This procedure can be performed by open or closed method. The aim of the study was to compare the closed and open anal internal sphincterotomy in patients admitted in our hospital with chronic anal ssure. Subjects and Methods: 105 patients admitted in department of general surgery with chronic ssure in ano were divided into two groups. 50 patients (Group A) who were treated by closed method and 55 patients (Group B) who were managed by open lateralanal sphincterotomy method. A3 months follow up done in both postsurgery to observe for pain, bleeding, infection, incontinence, and recurrence. Results: Signicant difference was observed in postoperative acute complications between the two methods of internal anal sphincterotomy. Conclusion: Lateral anal sphincterotomy is the treatment of choice for chronic anal ssure, either open or closed method. However, the closed method was observed to have lesserpost operative complication compared to the open method

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Closed vs Open Lateral Internal Sphincterotomy in Chronic Anal Fissure: A Randomized Study to Compare Post-Operative Complications and Results

Abstract: Abstract

Cited by 4 publications

References 1 publication

Comparative study of closed versus open lateral internal sphincterotomy in the management of chronic anal fissure

Comparative study of closed versus open lateral internal sphincterotomy in the management of chronic anal fissure

A Prospective Study of Open Versus Closed Lateral Internal Sphincterotomy in Chronic Anal Fissures

Prospective Randomized Study Between Open vs Closed Lateral Anal Internal Sphincterotomy in Patients With Chronic Fissure in Ano at Skmch, Muzaffarpur, Bihar

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