Title: Progress of Wound Healing between One Steps Controlled Lateral Sphincterotomy and Conventional Sphincterotomy
Authors: Dr Quazi Habibullah, Dr Ashraful Islam, Dr Imran, Prof. Dr Guljar Ahmed, Dr Md. Morfudul Islam
DOI: https://dx.doi.org/10.18535/jmscr/v7i8.60
Abstract
Background: Anal fissure is one of the most common anorectal conditions encountered in clinical practice.
Objective: In this study our main objective is to evaluate the effectiveness of one step controlled lateral sphincterotomy and conventional sphincterotomy in decreasing the wound healing.
Method: This quasi experimental study was carried out at different Private Hospital, Dhaka City from June 2016 to June 2018 where 100 patients were included in this study. Informed consent was obtained from all patients after explanation of the nature of anal fissure and possible treatment.
Results: During the study, overall summary of infection rate during 1st and 2nd follow up was a little bit shorter in group B than Group A. Wound was healed in Group A (conventional group) was mean 2.1 (SD 0.9) (range 1-4) weeks and in Group B (one step controlled group) was mean 1.6(SD 0.6) (range 1-3) weeks. Which was statistically significant (p<0.05).
Conclusion: From our result we can say that, that one step controlled sphincterotomy provided better healing with lower rate of early and late postoperative disturbance of continence compared with conventional sphincterotomy.
Keywords: One step controlled lateral internal sphincterotomy, Anal fissure, Chronic.
