Chronic Anal Fissure: A Comparative Study of Medical Treatment Versus Surgical Sphincterotomy
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Abstract
To determine whether the medical Treatment of anal fissure can be an effective alternative for surgery Methods: Retrospectively, we randomly selected 190 Patients being treated for anal fissure between the years 2005-2010 in 3 equal groups: group A: Patients who received medical treatment with topical nitroglycerin, group B: Patient treated with topical diltiazem, and group C: Patients underwent surgery. The results were then correlated with the statistical program SPSS using chi-square test. Main complaints of the patients were first anal pain and then bleeding. The response to treatments for relieving pain was: 77% in A, 83% in B, and 98% in group C. Response of treatments for fissure healing, in order of groups A, B and C was: 74%, 83%, and 94%. Despite good response to medical treatment, surgical treatment was more effective and medical treatment of choice in patients who are willing to have surgery.
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| Files | ||
| Issue | Vol 54, No 7 (2016) | |
| Section | Original Article(s) | |
| Keywords | ||
| Anal fissure Diltiazem ointment Nitroglycerin Lateral internal sphincterotomy | ||
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