Kishwar Parveen, Adeela Anwar Rana, Mustafa Ali Siddiqui, Mohammad Mohsin Khan, Irfan Qadir, Mohammad Imran Nazir.
Analysis of Surgical and Medical Management of Anal Fissure.
Pak J Med Health Sci Jan ;12(1):193-4.

Aim : To analyze Surgical and Medical treatment of Anal Fissure. Methods: This was prospective study carried out in Surgical Department of NH Multan, from January 2016 to September 2016. A total of 75 patients from Surgical OPD were included in the study. Result: Out of 75 patients , 49(65%) were male and 26(35%) were female patients. The patients were from the ages of 23 to 54. Painful defecation was present in all the patients (100%), constipation in 67(90%) patients, whereas bleeding per rectum in 52(70%). Sentinel pile was seen in 50(67%) patients and associated superficial fistula only in 1 patient. Conclusion : It is concluded that lateral internal sphincterotomy is the most affective way of treatment of chronic anal fissure, whereas chemical sphincterotomy with topical glyceryl trinitrate is relatively less effective.

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