ANAL FISSURE;

SURGICAL MANAGEMENT

Authors

  • SHAUKAT ALI Nishtar Medical College/Hospital, Multan
  • MUHAMMAD AZIM KHAN Nishtar Medical College/Hospital, Multan
  • SHAHID MANSOOR NIZAMI Nishtar Medical College/Hospital, Multan

DOI:

https://doi.org/10.29309/TPMJ/2012.19.06.2458

Keywords:

Dentate line, Sphincterotomy, defecation

Abstract

Objective: To know the outcome of treatment of chronic anal fissure. Setting: Nishtar Hospital, Multan. Period: January 2011 to
June 2011. Material and methods: A total of 100 patients attending surgical OPD were included in the study. Results: 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. Conclusions: It is concluded that in patients with chronic anal fissure,
chemical sphincterotomy with topical nifedipine ointment is a non-invasive and effective modality.

Author Biographies

SHAUKAT ALI, Nishtar Medical College/Hospital, Multan

Department of Surgery 

MUHAMMAD AZIM KHAN, Nishtar Medical College/Hospital, Multan

Department of Surgery

SHAHID MANSOOR NIZAMI, Nishtar Medical College/Hospital, Multan

Department of Anatomy,

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Published

2012-11-03