Anal fissure; Surgical management

ABSTRACT

To know the outcome of treatment of chronic anal fissure. Nishtar Hospital, Multan. January 2011 to June 2011. A total of 100 patients attending surgical OPD were included in the study. Out of 100 patients, 73 [73%] were male and 27 [27%] were female patients. Majority of the patients were from the age group 31-40 years. At posterior midline fissure in ano was present in 91 [91%] patients and at the anterior midline it was in 9 [9%]. Pain defecation was seen in all patients, constipation in 95 [95%] patients whereas bleeding from rectum in 72 [72%] patients. It is concluded that in patients with chronic anal fissure, chemical sphincterotomy with topical nifedipine ointment is a non-invasive and effective modality.