Abstract

Background: An anal fissure is one of the common anorectal disease resulting from a split or tear in the anal canal's skin, it causes pain, bleeding and emotional stress. There are medical and surgical treatment available for treating anal fissures, this study was aimed to compare lord’s dilations and lateral internal sphincterotomy.
Methods: An observational study conducted in 64 patient general surgery department, all patients were treated by conservative management first and surgically if required. Lateral internal sphincterotomy or lord’s dilatation were performed among study subjects by randomised process. 
Results: Mean age of 64 study sample was 38.78 years (SD - 9.03 years), with 52 (81%) male and 12 (19%) female in study. All 64 subjects were treated by conservative first, while 54 (84.4%) required surgical management. There was no significant difference in mean duration of surgery, post-operative pain & duration of hospital stay between lords dilation lateral spinteretomy.
Conclusion: Conservative medical treatments are all effective methods that may reduce the need for surgery in many patients. Early pain alleviation and a high ulcer healing rate are provided by anal dilatation and lateral internal spinteretomy treatment, LIS is a safer option in terms of recurrence.