Lateral internal sphincterotom; [for the treatment of fissure in-ano] [six years experience]
Professional Medical Journal-Quarterly [The]. 2009; 16 (3): 327-331
in English
| IMEMR
| ID: emr-100104
ABSTRACT
To evaluate the efficacy of lateral internal sphincterotomy in fissure in-ano. This study is a prospective clinical trial. it was conducted initially at D.H.Q./ Allied Hospital [PMC] Faisalabad and then other centers from November 2001 to onward for the period of six years. 140 patients, in urgency due to sever pain, non-compliance to conservative and pharmacological management, or their preference were treated by lateral internal sphincterotomy. The patients were followed up at 1 st to 12th weeks. The extent of improvement in presenting symptoms and complications were noted on questionnaires. Lateral internal sphincterotomy relieved 140 [100%] patients. Transient incontinence of flatus was present in 64.3%, at 1st week that was resolved at 8-12th weeks. There was no recurrence in other complications included infection 7.1%, abscess 7.1% and anesthesia related problems in 14.2%. Lateral internal Sphincterotomy may be regarded as [The Gold Standard]
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Postoperative Complications
/
Prospective Studies
/
Surveys and Questionnaires
/
Fecal Incontinence
/
Fissure in Ano
Type of study:
Controlled clinical trial
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Professional Med. J.-Q
Year:
2009
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