Original Article
Comparison between Open Lateral Sphincterotomy and Posterior Midline Sphincterotomy with Fissurectomy in Treatment of Chronic Anal Fissure
Author(s):
Deari A. Ismaeil*, Kamil Haydar, Ary Hama Saeed and Alaa Sabeeh
Background: Anal fissure is a common condition. Lateral internal sphincterotomy is recommended as the standard procedure for treating chronic anal fissure. Fissure healing can also be achieved by a posterior midline sphincterotomy, which may be associated with prolonged healing, as well as passive anal leakage.
Objectives: This is to compare the effectiveness and outcome between two methods of treating chronic anal fissure; open lateral internal sphincterotomy with fissurectomy versus posterior midline sphincterotomy with fissurectomy, in terms of post-operative complications; pain, infection, bleeding, bruising, abscess, fistula and incontinence.
Patients and methods: A Retrospective study including 100 patients presented with chronic anal fissure. The patients were distributed between two equal groups: group-A under.. Read More»
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