Imran Sadiq,, Muhammad Javed Shakir, Ruqqia Naheed Khan, Muhammad Akhlaq Ahmed, Syeda Samina Ashfaq, Abeer Ijaz

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



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