Closed lateral Internal Sphincterotomy under local anesthesia in OPD in the treatment of chronic Anal Fissure
Keywords:Fissure in Ano. Digestive System Surgical Procedures. Anastomosis, Surgical. Anesthesia, Local. Anal Canal. Postoperative Complications. Orthopedic Procedures. Flatulence. Intestines.
Objective of this study is to provide best therapy in terms of hospital stay and post operative complications after closed lateral internal sphincterotomy under local anaesthesia in the treatment of chronic anal fissure. It is descriptive type of study carried out at Nishtar Hospital Multan, from February 2001 to April 2001. Thirty patients underwent closed lateral internal sphicterotomy in local anaesthesia in OPD. Internal anal sphincter divided up to dentate line by introducing no.11 surgical blade in the intersphicteric groove. Pts were allowed to go home just after the surgery. Follow up for complications was done for the period of 6months. Mean postoperative stay was for 12 minutes. Postoperative complications were soiling (6.6%), incontinence to flatus (3.3%) and recurrence (3.3%). CLIS can be done safely under local anesthesia in OPD with low complication rate and less postop period of stay.
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