CHRONIC ANAL FISSURE

CHEMICAL SYPHINCTEROTOMY (NON SURGICAL MANAGEMENT)

Authors

  • ABID HUSSAIN Multan Medical & Dental College Multan
  • KISHWAR NAHEED Multan Medical & Dental College Multan

DOI:

https://doi.org/10.29309/TPMJ/2011.18.04.2576

Keywords:

Chemical syphincterotomy, Glyceryl trinitrate, Chronic anal fissure

Abstract

Objective: To determine the role of chemical syphincterotomy as non surgical management of chronic anal fissure. Study Design: Descriptive. Setting: This study was conducted at Margalla teaching Hospital and United Medical center .Rawalpndi. Period: 1½ years. Patients & Methods: This study included 70 patients of either sex. A personal bio data and detailed history of dietary and bowel habits were registered. Topical 0.2% GTN (Gylciryltrinitrate) was applied to anal verge 2 times per day for the period of two months and its effects were noted. Result: 58 patients (83%) got symptomatic relief and 12 patients (17%) did not get improvement. Conclusions: Chemical syphincterotomy heals majority of the fissure . Topical 0.2% GNT ointment is widely used as a first line treatment in U.K . It is generally accepted as an effective treatment for chronic fissure .

Author Biographies

ABID HUSSAIN, Multan Medical & Dental College Multan

MBBS, FCPS, MS

Associate Professor of Surgery

 

KISHWAR NAHEED, Multan Medical & Dental College Multan

MBBS, MCPS, FCPS

Senior Registrar Gynae/Obst.

 

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Published

2011-12-10