CHRONIC ANAL FISSURE
ROLE OF CHEMICAL SPHINCTEROTOMY
DOI:
https://doi.org/10.29309/TPMJ/2006.13.03.4981Keywords:
Chemical Sphincterotomy, Chronic Anal Fissure, GTN (Glyceryl Trinitrate), Xylocaine gelly 5%Abstract
To evaluate the role of chemical sphincterotomy in the treatment of chronic anal fissure.
To compare the effects of xylocaine gelly 5% with GTN 0.2%. Design: Comparative study. Setting: Outdoor and
Emergency Department of Surgical unit II and III of Sir Ganga Ram Hospital Lahore Period During the year 2004
Methods and materials: 40 patients of chronic anal fissure were included in study and was divided in a randomized
manner into two groups and the effects, out come and side effects of the Xylocaine 5% and GTN 0.2% were noted,
while treating the patients of chronic anal fissure. Results: At 4 weeks only 2 patients of Group A (xylocaine 5%)
showed healing evidence while 8 patients of Group B (GTN 0.2%) had shown the healing of the anal fissure. At the end
of the 6 weeks a total of 4 patients of Group A showed healing while in case of Group B 14 patients had shown the
healing of the anal fissure. Conclusion: Our study suggests that topical GTN produces successful chemical
sphincterotomy. It not only helps in relieving pain but also promotes healing of fissure. Lignocaine may help in relieving
pain but it is not effective in healing of fissure.
