Fissure In ANO: Comparison between Lateral Sphincterotomy and Glyceryl Trinitrate (0.2%)

Title: Fissure In ANO: Comparison between Lateral Sphincterotomy and Glyceryl Trinitrate (0.2%)

Authors: Dr R. V. Bhosle, Dr Stalin Kampelly, Dr Avinash Gottumukkala

DOI: http://dx.doi.org/10.18535/jmscr/v4i8.10

Abstract

References

Corresponding Author

Abstract

Anal fissure is a painful lesion involving Anal canal. Most of them subside spontaneously. Some Acute anal fissures become chronic and will not heal. Chronic fissure is treated usually by dilatation of anus and lateral sphincterotomy. Both surgical procedures may cause some degree of incontinence in some patients. Recent studies have shown that Local Glyceryl trinitrate can reduce Sphincter pressure and more than 80% Fissures heal.

References

1. Hananel N, Gordon PH. Re Examination of Clinical Manifestations and response to Therapy of Fissure in Ano. Dis Colon Rectum 1997;40;229-233. A Prospective Randomized Study.BMJ (Clin Res Ed) 1984,289:528-530

2. Shub HA, Salvati EP, Rubin RJ. Conservative Treatment of Anal Fissure: An Unselected Retrospective and continous study. Dis Coln Rectum 1978,21:582-583.

3. McDonald P, Driscoll AM, Nicholls RJ . The Anal Dilator in the Conservative Management of Acute Anal Fissures. BJS 1983,70: 25-26.

4. Gough MJ,Lewis A.The Conservative Treatment of Fissure in Ano.BJS 1983,70:175-176

5. Frenckner B,Ihre T. Influence of autonomic nerves on Internal Anal Sphincter. Gut 1976,17:306-312.

6. Frenckner B.Function of Anal Sphincters. Gut 1975,16:638-644

7. Watts JM,Bennett RC,Golingher JC. Stretching of Anal Sphincters in Treatment of Fissure in Ano.BMJ 1964:342-343

8. Isbister WH, Prasad J. Fissure in Ano .Aust N Z J Surg 1995;65:107-108.

9. Marby M,Alexander Williams J,Buchmann P,Arabi Y, Kappas A, Minervini S,Gatehouse D,Keighley M. A Randomized Control Trial to compare Anal Dilatation with Lateral Subcutaneous Sphincterotomy for Anal Fissure. Dis Colon Rectum 1979;22:308-311.

10. O’Connor JJ,Lord Procedure for Treatment of Postpartum Hemorrhoids and Fissures. Obs&Gyn 1980,55:757-758

11. Jensen SL,Lund F,Neilsen OV, Tange G. Lateral Subcutaneous Sphincterotomy Vs Anal dilatation in the Treatment of Fissure in Ano in Out Patients:A Prospective Randomized study.BMJ(Clin Res Ed)1984,289:528-530

12. Gabriel WB 1945.The principles and practice of rectal surgery.Lewis: London

13. Lawrence H Bannister.Alimentary system in Gray’s Anatomy 38^thEdition.Churchill Livingstone. 1996:1683-1812.

14. Weaver RM, Ambrose NS, Alexander Williams J,Keighley MR.Manual Dilata-tion of Anus Vs Lateral Subcutaneous Sphincterotomy in the teeatment of chronic fissure in ano. Results of a prospective, randomized clinical trial. Dis Colon Rectum 1987,30:420-423.

15. McDonald A, Smoth A, Mc Neill, AD, Finlay, IG.Manual dilatation of the Anus.BJS 1992,79:1381-1382.

16. Neilsen MB, Rasmussen OO, Pedersen JF, Christiansen J. Risk of sphincter damage and anal incontinence after Anal dilatation for fissure in ano .An endosonographic study. Dis Colon Rectum 1993,36:677-680.

17. Eisenhammer S. The surgical correction of chronic internal anal sphincter contracture. S Afr Med J 1951,25:486-489.

18. Eisenhammer S. The evaluation of internal anal sphincterotomy operation with special reference to anal fissure. Surg Gyn&Obg 1959;109:583-590.

19. Abcarian H. Surgical correction of chronic Anal fissure :Results of lateral internal Sphincterotomy. Dis Colon Rectum 1980;23:31-36.

20. Hawley PR. The treatment of chronic fissure in ano. A trial of methods . BJS 1969;56:915-918.

21. Nothmann BJ, Schuster MM. Internal anal sphincter derangement with anal fissures. Gastroenterology 1974; 67: 216-220.

22. Hancock BD. The internal sphincter and anal fissure. BJS 1977; 64: 92-95.

23. Farouk R, Duthie GS, McGregor AB, Bartolo DC. Sustained internal sphincter hypertonia in patients with chronic anal fissure. Dis colon rectum 1994; 37:424-429.

Call For Paper Volume 12 Issue 12 December 2024

The JMSCR is accepting manuscripts for its coming issues to be Publish Volume 12 Issue 12 December 2024 the JMSCR invites authors to submit manuscripts Reporting original medical research, original article, research article, case report, systematic reviews, or educational Innovations for publication for the coming issues that will be released in Volume 12 Issue 12 December 2024. Types of manuscripts suitable for JMSCR include: Medical research, Clinical research Educational Innovation, Brief Report, Reviews on Teaching In keeping with high quality scholarship, Read More.....

https://jmscr.igmpublication.org/ems/index.php/jmscr/about/submissions

If any difficulty you can also submit to: This email address is being protected from spambots. You need JavaScript enabled to view it.

JMSCR Menu

Impact Factor SJIF 2024: 7.892

https://sjifactor.com/passport.php?id=1725

Crossref - DOI

Crossref - DOI Prefix: 10.18535/jmscr

Editorial Policy

Authors should prepare their manuscripts according to the instructions given in the authors' guidelines. Manuscripts which do not ..

Frequency of Publication

JMSCR is published as monthly journal with 12 issues per year. Special editions are also planned subjected to the scope and need....

Submission of Articles

Authors are invited to submit their research articles, review papers, Case Report properly formatted as per the author guidelines.........

Search

Abstract