COMPARISON OF OPEN AND CLOSED SPHINCTEROTOMY IN THE TREATMENT OF CHRONIC ANAL FISSURE

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MALEKZADEGHAN A.R.; JAVAHERZADEH M.; MALEKZADEGHAN M.R.

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Journal: Iranian Journal of Surgery Year:2012 | Volume:19 | Issue:4 Page(s): 0-0

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Title

COMPARISON OF OPEN AND CLOSED SPHINCTEROTOMY IN THE TREATMENT OF CHRONIC ANAL FISSURE

Author(s)

MALEKZADEGHAN A.R. | JAVAHERZADEH M. | MALEKZADEGHAN M.R. | Issue Writer Certificate

Keywords

OPEN SPHINCTEROTOMY

CLOSED SPHINCTEROTOMY

HEMORRHAGE

ABSCESS

Abstract

Introduction & Objective: Chronic anal fissure is a common anorectal disease which present itself with pain and HEMORRHAGE during defecation. If conservative treatments with high fibers regiments and sitz bath don’t cure the chronic anal fissure, sphincterotomy can be done by open or closed technique. In this study we compare the outcomes and complications of open and close sphincterotomy.Materials & Methods: In this clinical trial study, 32 patients underwent OPEN SPHINCTEROTOMY and 29 patients underwent close sphincterotomy. The duration of surgery and hospital admission, post-operative pain and HEMORRHAGE, late complications and recurrence were compared between the closed and OPEN SPHINCTEROTOMY.Results: The average surgery time of closed and OPEN SPHINCTEROTOMY were 19.5 ± 5.5 and 45.5±4.84 minutes respectively. The difference was statistically significant (P<0.001). The duration of hospital admission was 2.8 ± 0.5 and 3.2 ± 0.4 days after closed and OPEN SPHINCTEROTOMY respectively. This difference was statistically significant (P=0.003).46.9% of patients after OPEN SPHINCTEROTOMY and 20.7% of patients after close sphincterotomy needed opium to control post-operative pain which was significantly different between the two groups, (P=0.032).There was no significant difference in post - operative HEMORRHAGE or incontinency between the two groups.There was no recurrence after 6 months of follow up.Conclusions: The long term and short term outcomes are similar after open and CLOSED SPHINCTEROTOMY, but operation and admission times and post-operative pain was significantly less in CLOSED SPHINCTEROTOMY. So CLOSED SPHINCTEROTOMY seems a suitable alternative for OPEN SPHINCTEROTOMY.

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APA: Copy

MALEKZADEGHAN, A.R., JAVAHERZADEH, M., & MALEKZADEGHAN, M.R.. (2012). COMPARISON OF OPEN AND CLOSED SPHINCTEROTOMY IN THE TREATMENT OF CHRONIC ANAL FISSURE. IRANIAN JOURNAL OF SURGERY, 19(4), 0-0. SID. https://sid.ir/paper/571906/en

Vancouver: Copy

MALEKZADEGHAN A.R., JAVAHERZADEH M., MALEKZADEGHAN M.R.. COMPARISON OF OPEN AND CLOSED SPHINCTEROTOMY IN THE TREATMENT OF CHRONIC ANAL FISSURE. IRANIAN JOURNAL OF SURGERY[Internet]. 2012;19(4):0-0. Available from: https://sid.ir/paper/571906/en

IEEE: Copy

A.R. MALEKZADEGHAN, M. JAVAHERZADEH, and M.R. MALEKZADEGHAN, “COMPARISON OF OPEN AND CLOSED SPHINCTEROTOMY IN THE TREATMENT OF CHRONIC ANAL FISSURE,” IRANIAN JOURNAL OF SURGERY, vol. 19, no. 4, pp. 0–0, 2012, [Online]. Available: https://sid.ir/paper/571906/en

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