A COMPARATIVE STUDY OF LATERAL INTERNAL SPHINCTEROTOMY VERSUS FISSURECTOMY IN THE TREATMENT OF CHRONIC ANAL FISSURE

Authors

  • Dr. Mahadeo R Patil, Dr. Sandhyarani M Patil, Dr Abhijit R Patil

Keywords:

Anal fissure, Lateral internal sphincterotomy (LIS), Fissurectomy, Postoperative flatus incontinence.

Abstract

An anal fissure is linear tear extending from mucocutaneous junction to thedentate line which is a very common problem in general population. Anal fissures are eitheracute or chronic. Chronic fissures not responding to conservative treatment typically requiresurgical treatment. The surgical options include lateral internal sphincterotomy (LIS) andfissurectomy. The aim of the study is to compare lateral internal sphincterotomy andfissurectomy in terms of postoperative pain relief, healing of fissure, and postoperativecomplications.

References

Abcarian H, Lakshmanan S, Read DR, Roccaforte P. The role of internal sphincter in chronic anal fissures. Dis colon Rectum. 1982;25(6); 525-8.

Boland PA, Kelly ME, Donlon NE, Bolger JC, Larkin JO, Mehingan BJ, et al.Management options for chronic anal fissure: a systemic review of randomized controlled trials. International Journal of Colorectal Disease.2020:35(10):1807-1815.

Jones M, Speak W, Scholefield JH. Diltiazem heals glyceryl trinitrate-resistant chronic anal fissures: a prospective study. Dis Colon Rectum.2002. 45;1091-5. 10.1007/s 10350004-6365.z.

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Published

2025-08-12

How to Cite

Dr. Mahadeo R Patil, Dr. Sandhyarani M Patil, Dr Abhijit R Patil. (2025). A COMPARATIVE STUDY OF LATERAL INTERNAL SPHINCTEROTOMY VERSUS FISSURECTOMY IN THE TREATMENT OF CHRONIC ANAL FISSURE. International Journal of Pharmacy Research & Technology (IJPRT), 15(2), 1245–1249. Retrieved from https://www.ijprt.org/index.php/pub/article/view/884

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Section

Research Article