Comparative study between closed vs open lateral internal sphincterotomy in treatment of chronic anal fissure

Sadiq Husain Kachavi; Praveen S Mali; Meti B Manjunath

doi:10.53730/ijhs.v6nS1.6293

Comparative study between closed vs open lateral internal sphincterotomy in treatment of chronic anal fissure

https://doi.org/10.53730/ijhs.v6nS1.6293

Authors

Sadiq Husain Kachavi Assistant Professor Department of General Surgery, SDM College of Medical sciences and Hospital, SDM University, Dharwad Karnataka India
Praveen S Mali Assistant Professor Department of General Surgery, SDM College of Medical sciences and Hospital, SDM University, Dharwad Karnataka India
Manjunath Meti B Assistant Professor Department of General Surgery, SDM College of Medical sciences and Hospital, SDM University, Dharwad Karnataka India

Keywords:

closed lateral internal sphincterotomy, open lateral internal sphincterotomy, Pain, Seroma, Hematoma, abscess

Abstract

Background: Anal ﬁssure is a benign yet highly prevalent condition that can cause considerable pain and discomfort. It is a longitudinal Split or tear of the anal canal extending proximally from the anal verge towards the dentate line. Objectives: To compares the open and closed techniques of lateral internal sphincterotomy and study which method is better among open vs closed lateral sphincterotomy. Material & Methods: Patients admitted in Bowring and Lady Curzon hospital and Victoria hospital attached to Bangalore Medical College and Research Institute from November 2015 to May 2017 were studied (n=60). Thirty patients underwent closed and thirty underwent open lateral internal sphincterotomy out of 60 after informed written consent. Results: Post operative pain after 48, 60, 72 and 96 hours was less in closed group along with seroma, hematoma and abscess. Conclusion: we observed that closed lateral internal anal sphincterotomy is better than open technique.

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References

Lunniss P and Nugent K. The anus and anal canal. In: Williams NS,Bulstrode CJK, O’Connell PR, eds. Bailey & Love’s Short Practiceof Surgery.26th ed. London : Arnold; 2012:1249

Kortbeek JB, Langevin JM, Khoo RE, Heine JA. Chronic ﬁssure in-ano: a randomized study comparing open and subcutaneous lateral internal sphincterotomy. Dis Colon Rectum. 1992 ; 35: 835-837.

Giordano P, Gravante G. Simple cutaneous advancement ﬂap anoplasty for resistant chronic anal ﬁssure: a prospective study. World J Surg.2009; 33: 1058-1063.

Ram E et al. Internal Anal Sphincter Function Following Lateral Internal Sphincterotomy for Anal Fissure ; A Long-term Manometric Study, Annals of surgery, August, 2005; 242(2) : 208-211

Metcalf A M .The Surgical Clinics of North America , 2002, 82(6):1291-1297

Pernkoft BJ, Eisenstat TE, Oliver GC etal. Reappraisal of partial lateral internal sphincterotomy. Dis Colon Rectum.1994.7: 1291-1295.

Kortbeek JB, Langevin JM, Khoo RE, Heine JA. Chronic ﬁssure in-ano: a randomized study comparing open and subcutaneous lateral internal sphincterotomy. Dis Colon Rectum. 1992 ; 35: 835-837.

Arroyo A, Perez F, Serrano P et al. Open versus closed lateral sphincterotomy performed as an outpatient procedure under local anesthesia for chronic anal ﬁssure: prospective randomized study of clinical and manometric longterm results. J Am Coll Surg. 2004; 199: 361-367.

Altomare DF, Rinaldi M, Troilo VL et al. Closed ambulatory lateral internal sphincterotomy for chronic anal fissures. Tech Coloproctol.2005; 9(3):248-249.

Garcia-Aguilar J, Belmonte C, Wong WD et al. Open vs closed sphincterotomy for chronic anal ﬁssure: long term results. Dis Colon Rectum. 1996; 39: 440-443.

Nelson H, Anus. In: Beauchamp R D, Evers B, Mattox K eds. Sabiston Textbook of Surgery.19th ed.: Elseviers; 2012:1392

Shaﬁq U, Nadeem M. Closed versus open lateral internal sphincterotomy in chronic anal ﬁssure: a comparative study of postoperative complications and results. Pakistan J Med Res. 2004; 43:1-4.

Published

25-04-2022

How to Cite

Kachavi, S. H., Mali, P. S., & Manjunath, M. B. (2022). Comparative study between closed vs open lateral internal sphincterotomy in treatment of chronic anal fissure. International Journal of Health Sciences, 6(S1), 6036–6042. https://doi.org/10.53730/ijhs.v6nS1.6293

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Issue

Vol. 6 No. S1 (2022)

Section

Peer Review Articles

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