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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 7, Issue 1, May 2013 pp 06-09

Research Article

A Comparative Study of Anal Dilatation and Lateral Anal Sphincterotomy in Patients of Chronic Anal Fissure

 Bhuwan Sharma¹, Ajay Sharma², R.S. Meena³

¹Assistant Professor, Dept. of Community Medicine, Grant Govt. Medical College, Mumbai, Maharashtra, INDIA.

{²Junior Resident, ³Professor and Head} Dept. of Surgery, Govt. Medical College, Kota, Rajasthan, INDIA.

Academic Editor : Dr. Aher K.R.

Introduction: Anal fissure is a common problem that causes significant morbidity in a young and otherwise healthy population.  Lateral anal sphincterotomy and anal dilatation are the two procedures most widely performed around in the hospitals. Current literature has shown conflicting evidence about the superiority of any one of these procedures for chronic anal fissure. The present study was done to compare the two procedures and make suitable recommendations. Material and Methods: The present longitudinal intervention study was conducted at Department of Surgery, Government Medical College, Kota (Rajasthan) from August 2010 to November 2011. A total of 50 patients of chronic anal fissure were selected and divided in two groups of 25 patients each by simple random sampling. Group A patients were treated by Lateral anal sphincterotomy and group B by Anal dilatation. Patients were followed up after 6 weeks and data was collected using semi structured questionnaire and was analysed using appropriate tests by SPSS ver. 19. Results:  A significantly less number of patients complained of pain and anal spasms after lateral anal sphincterotomy (p<0.05). These patients also required significantly lesser stay in hospital and had less frequent visits to the hospital (p<0.05) after the procedure. Conclusion: After analyzing the results, lateral anal sphincterotomy is indeed proven superior to anal dialatation in terms of post operative complication and cost effectiveness. But a study with a greater sample size needed to be done to further strengthen our claim.