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
follow-up of patients showed 100% pain and fissure improvement in internal
lateral sphincterotomy group as compared to 60% in glyceryl trinitrate ointment
Conclusion: Internal lateral sphincterotomy is most efficient and reliable procedure
in relieving anal fissure pains.
Keywords: Anal fissure, Internal lateral
sphincterotomy, Glyceryl trinitrate