Résumé
Background: The majority of anal canal fissures heal spontaneously or withconservative treatment such as the use of anaesthetic cream to heal fissures, and high fibre diets or laxatives to reduce constipation. The aim of this study to comparative evaluation of the conventional treatment v/s 0.2% Glyceryltrinitrate ointment (local application). Methods: The present study included both out door and indoor patients who attended M.G. Hospital attached to Dr. S.N. Medical college, Jodhpur. Detailed history were taken and through physical examination was done. In this study 75 cases were divided in to three groups: Group I: Treated with Anal dilation under general anaesthesia, Group II : Treated with local anaesthetics, Diet, Hot Sitz bath and Group III: Topical application of 0.2% Glyceryltrinitrate. The comparison was done with respect to pre- treatment symptoms, post treatment symtoms and long term complications. Results: The maximum cases were seen in 30-50 years of age group and minimum was seen in below 20 years & above 60 years of age. The incidence of male patients were slightly more than females. Anorectal pain and constipation was most frequent symptoms. Streak of blood in stool was next common symptoms.By the end of 6th week with anal dilation, 80% respondent to this treatment. With local anaesthetic agent, 60% responded and 66% responded with 0.2% glyceryltrinitrate treatment modality. Conclusion: We concluded that GTN & local anaesthetics are both non surgical treatment modalities & thus avoids the risk & complications of surgery and anaesthesia