Chemical Sphicterotomy Versus Surgical Sphicterotomy in the Management of Chronic Fissure in ANO: A Prospective, Randomized Trial
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Closed Versus Open Lateral Internal Sphincterotomy Technique in Treatment of Anal Fissure
Background: Although lateral internal sphincterotomy is an effective treatment of chronic fissure in ano, it’s of potential to better-done and lower complications. And the aim of this prospective randomized trial was to compare the effectiveness and morbidity of open and closed sphincterotomy in the treatment of chronic anal fissure. Methods: The two methods were compared in a randomized contro...
متن کاملمقایسه تأثیر دیلتیازم ونیتر و گلیسیرین موضعی بر درمان فیشر آنال مزمن
Introduction: Chronic anal fissure is associated with anal hypertonia and considerable pain. Internal sphincter pressure decreases with surgical procedures or medical agents. Numerous clinical studies have evaluated the effectiveness of multiple drugs. Objective: This study compared the efficacy of diltiazem 2% compared to glycerol trinitrate 0.2% for chemical sphincterotomy. Materials & Me...
متن کاملMorbidity associated with treatment of chronic anal fissure
OBJECTIVE To assess the effectiveness of different modes of treatment of chronic anal fissure as regards improvement of symptoms and complications. METHODS This prospective study included 129 consecutive patients with chronic anal fissures presented to the Surgical Outpatients' Department of Islam Teaching Hospital Sialkot, Pakistan; from September 2010 to November 2012. Patients were distrib...
متن کاملمقایسه اثر درمانی مقادیر 25 و 50 واحدی سم بوتولینوم در شقاق مزمن مقعدی
Chronic anal fissure is maintained by contraction of the internal anal sphincter. Sphincterotomy, which is successful in 85% to 95% of patients, permanently weakens the sphincter and therefore might be associated with anal deformity, infections and incontinence. The object of the present study was to compare the therapeutic effects of 25U and 50U doses of botulinum toxin in chronic ...
متن کاملComparative study of lateral internal sphincterotomy versus local 0.2% glyceryl trinitrate ointment for the treatment of chronic anal fissure.
The gold standard surgical treatment of chronic anal fissure is lateral internal sphincterotomy which lowers the resting anal pressure and effectively heals the majority of fissures. Local application of 0.2% glyceryl trinitrate ointment has been used as an agent for chemical sphincterotomy, causing temporary alleviation of sphincter spasm and allowing the fissure to heal without compromising t...
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تاریخ انتشار 2012