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COMPARISON OF FREQUENCY OF HEALINGIN PATIENTS WITH ACUTE ANAL FISSURE UNDERGOING LATERAL INTERNAL SPHINCTEROTOMY VERSUS MEDICAL MANAGEMENT WITH GTN 0.2% CREAM

Dr. Amjad Ali, Dr. Ali Gohar Khan, Dr. Syed Muhammad shah

Objective: To compare surgical and medical management of acute anal fissure in term of healing. Material and methods: This Randomized Controlled Trial was conducted at Department of Surgery, CMH Multan from November 2018 to May 2019. Total 84 with acute anal fissure were selected. Group-A was include those patients who were undergo Lateral internal sphincterotomy and Group-B was include those patients who were be managed with 0.2% GTN cream. Results: In present study, mean age of the patients was 38.7484 ± 10.37 years, mean age of the patients of Group A was 40.28 ± 11.77 years and mean age of the patients of Group B was 39.77 ± 11.44 years. Patients of group A were managed with lateral internal sphincterotomy and patients of group B were managed with 0.2% GTN cream. After 6 weeks, in group A and B healing was noted in 37 (88.10%) patients and 24 (57.14%) patients respectively. Difference of healing rate between both groups was statistically significant with p value 0.003. Conclusion: In this study significantly higher healing rate was noted in cases of acute anal fissure underwent lateral internal sphincterotomy as compared to patients managed with GTN cream. Key words: Anal fissure, lateral inernal sphincterotomy, GTN. Surgical management.

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