Online ISSN: 2515-8260

Keywords : anal fissure


Dr.OmranEssaObaid .

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 1494-1500

Anal fissure is one of the most common anorectal conditions encountered in clinical practice. Most patients experience anal pain with defecation and minor bright red rectal bleeding, allowing a focused history to direct the evaluation.
This was a prospective, randomized, controlled clinical study conducted on 90 consecutive patients who presented to the general surgery outpatient clinic of Al - Hilla teaching Hospital Babil, between June 2019 and July 2021 were diagnosed with  anal fissure.
Although various non-surgical and surgical treatment meth­ods have been used, an ideal treatment method for acute anal fissure is still debatable. The topical antimicrobial treatment with metronidazole in addition to conventional medical treat­ments is an effective, easy-to-use, safe, fast and comfortable practice that enables further reduction of anal fissure pain and increases the healing rate.

Bilateral Segmental Internal Anal Sphincterotomy Outcomes for Chronic Anal Fissure Treatment

Hesham Bahlul Mohamed Marzogi, Samir Ibrahim Mohammad, Mohamed Farouk Amin, Ashraf Abdel Monem Elsayed

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3352-3360

Background: Chronic anal fissures are harder to treat and surgery may be the best
option. The goal of surgery is to help the anal sphincter muscles relax which
reduces pain and spasms, allowing the fissure to heal. The aim of the present study
was to assess the Improving outcome of patients of chronic anal fissure. Patients
and methods: This clinical trial study was conducted in General Surgery
Department, Faculty of Medicine, Zagazig University on 18 chronic anal fissure
cases. All patients were subjected to full history taking, proper local examination
and baseline investigations. Anorectal manometry was performed for all patients
preoperatively. Then, bilateral segmental internal sphincterotomy was done for all
patients. Results: In our study, age was 37.77 ± 6.44 with minimum of 24 and
maximum of 50 years. Regard sex distribution, males and females were matched
(50/50 percentage). Majority were posterior (66.7%) then anterior (22.2%) and
finally both (11.1%). Operation time was 17.77 ± 3.62 with minimum of 12 and
maximum of 25 minutes. After internal sphincterotomy, complete healing was
5.16±1.09 with minimum of 4 and maximum of 7 weeks. VAS significantly
decreased from pre to 1st 24 hours till the end of follow up. Incontinence score
significantly decreased from preoperatively to 1st week till the end of follow up.
Conclusion: bilateral segmental internal sphincterotomy is a novel, safe, and
effective way of treating chronic anal fissure, and it is not associated with any risk
of anal incontinence.