Volume : V, Issue : II, February - 2016

Closed lateral internal sphincterotomy under local anaesthesia: A day surgery procedure

Bhavinder Arora

Abstract :

<p><p> Background Chronic anal fissure is a common anal canal disorder which is more common in females. Closed lateral internal sphincterotomy is one of the surgical options for treatment of chronic fissure in ano. It heals the fissure by decreasing anal spasm, pain and smooth defecation. Lateral internal sphincterotomy under local anaesthesia is the surgery of choice performed as a day surgery procedure. Material and Method Forty five patients suffering from chronic anal fissure were treated by closed lateral internal sphincterotomy under local anaesthesia as day surgery. Patients were followed at 1 week, 3 weeks and 3 months interval. This study was conducted with aim to see postoperative outcome of closed lateral internal sphincterotomy. Results The complete healing was achieved in all the patients in three weeks. After initial post operative pain, all the patients were pain less at one week follow up doing their routine working. On follow up two patients had haematoma; one patient had haematoma and ecchymosis. Post operative haemorrhage and incontinence was observed in none of the patients. Recurrence was observed in none of the patients. Conclusion Closed lateral internal sphincterotomy under local anaesthesia has a very good healing of chronic fissure in ano. It is concluded that closed internal sphincterotomy is the surgical procedure of choice for chronic anal fissure as day surgery.</p></p>

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Article: Download PDF    DOI : https://www.doi.org/10.36106/gjra  

Cite This Article:

Bhavinder Arora Closed lateral internal sphincterotomy under local anaesthesia: A day surgery procedure Global Journal For Research Analysis, Vol: 5, Issue: 2 February 2016

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