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TITLE:

STUDY TO DETERMINE THE VARIOUS LOCATIONS OF ANAL FISSURES IN THE SURGICAL DEPARTMENT

AUTHORS:

Dr. Aayan Asghar, Dr. Muhammad Arif, Dr. Irfan Mureed

ABSTRACT:

Objective: To learn about different locations of the anal fissure. Study design: A descriptive, cross-sectional study. Place and duration: In the Surgical Unit II of Services Hospital Lahore for one year duration from January 2019 to January 2020. Methodology: This is a prospective study that includes all patients who have come to an outpatient hospital and who have been diagnosed with anal fissure as well as physical examination and fissure location was recorded. Results: 127 consecutive patients with anal fissures were included. The spectrum of various conditions includes pain during or after defecation, constipation or difficulty in defecation, PR bleeding, sudden pruitis or inflammation of the rectum, mucus secretion and bloating or flatulence. Sixty (47.2%) patients had posterior midline fractures, 27 (21.3%) had anterior midline and 3 (2.4%) had lateral fractures. Anal fissures at various and multiple positions were found simultaneously. Conclusion: There are a much greater percentage of fissures located at other locations besides posterior midline across both sexes than is being traditionally reported in literature. Keywords: Anal fissure, rectal examination (DRE), painful defecation

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