Lateral internal sphincterotomy V/S anal dilatation

Abstract

Objective: To compare the two surgical procedures performed for the treatment of fissure in ano. Design: Clinical trial Setting: Surgical Unit-III, Sir Ganga Ram Hospital, Lahore. Subjects and Methods: Sixty female patients coming to the out door and emergency department of Sir Ganga Ram Hospital, were included in the study. Thirty patients had oper lateral internal sphincterotomy (LIS) and 30 had anal dilatation (AD). Results: LIS was associated with remarkably to incidence of post operative complications. The patients undergoing AD had more pain and bleeding per rectum in the postoperative period. Anal incontinence was seen in 59.6% of patients, prolapse of haemorrhoids in 40% and recurrence in 6,6%) operated for AD, while the corresponding figures for LIS were 6.6%, 10% & 0% respectively (p<0.05). Conclusion: LIS is a superior procedure to AD for the surgical treatment of fissure in ano. LIS should be adopted as a procedure of choice in uncomplicated fissure in ano.