Muhammad Munir Akhtar, Amjad Ali, Mahbub Ahmad Khan.
A Comparative study of Open vs Close Lateral Sphincterotomy.
Pak J Med Health Sci Jan ;13(1):348-9.

Aim: To evaluate the effectiveness and long term results of sphincter healing following LLIS in managing of chronic anal fissure Methodology : This study was carried out in Umar Hospital, Multan from May 2016 to October 2016. A total of 100 patients attending surgical OPD were included in the study. Results : Among 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 9 1(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. Conclusion : It is concluded that in patients with chronic anal fissure, chemical sphincterotomy with topical nifedipine ointment is a non-invasive and effective modality.

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