Comparison of Glyceryl Trinitrate Ointment versus Internal Lateral Sphincterotomy for Anal Fissure Pain Relief
Imran Sadiq,, Muhammad Javed Shakir, Ruqqia Naheed Khan, Muhammad Akhlaq Ahmed, Syeda Samina Ashfaq, Abeer Ijaz
2600
ABSTRACT
Background: Anal fissure is a linear painful mucosal tearing in the distal part of
anal canal. It extends from dentate to anal edge.
Aim: To compare the glyceryltrinitrate ointment and internal lateral
sphincterotomy for anal fissure pain relief in acute/chronic pts.
Study Design: Prospective study
Place and duration of study: Department of Surgery Unit-II, Fatima Memorial Hospital, Shadman Lahore
from 1st October 2018 to 31stDecember 2020.
Methodology: 40 pts with acute and chronic anal fissure were enrolled. Half of the
patients undergo internal lateral sphincterotomy while other opted 0.2% use of
glyceryl trinitrate ointment. Each patient was followed for pain, recovery,
complications and recurrence until 12 months for internal lateral
sphincterotomy and 18 months in glyceryl trinitrate ointment.
Results: There were 24 males and 16 females with a mean age of patients as 30±3.2
years. Initial
follow-up of patients showed 100% pain and fissure improvement in internal
lateral sphincterotomy group as compared to 60% in glyceryl trinitrate ointment
group respectively.
Conclusion: Internal lateral sphincterotomy is most efficient and reliable procedure
in relieving anal fissure pains.
Keywords: Anal fissure, Internal lateral
sphincterotomy, Glyceryl trinitrate