A COMPARATIVE STUDY ON LATERAL INTERNAL SPHINCTEROTOMY V/S LORD’S DILATATION IN CHRONIC FISSURE IN ANO PATIENT
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Keywords
Chronic anal fissure, Lateral internal sphincterotomy (LIS), Lord's dilatation, Surgical treatment comparison, Fissure healing rates
Abstract
Introduction: Anal fissures are elongated ulcers in the anal canal that cause significant discomfort and impact daily activities when they become chronic. These fissures are commonly treated with surgeries such as lateral internal sphincterotomy (LIS) and lord’s anal dilatation, each presenting unique challenges and outcomes. This study focused on comparing these surgical techniques to determine the most effective approach for treating chronic anal fissures.
Aim and Objective: This study aimed to comparison the effectiveness, outcomes, and potential complications associated between LIS and Lord's dilatation in treatment of chronic fissure in Ano. Methodology: This prospective observational study was conducted at western up,120 patients were taken who diagnosed with chronic anal fissure and divided into two groups for either LIS or Lord's dilatation. The outcomes were measured through various methods including pain scales, healing rates and complication records over a follow-up period of three months. Data analysis was performed using SPSS software, focusing on statistical significance of the results obtained.
Results: Both LIS and Lord's dilatation proved effective in treating chronic anal fissures, but with different efficacy profiles. LIS showed higher healing rates (95% at 1 month, 98.3% at 3 months) and lower recurrence rates (1.7% at 3 months) compared to Lord's dilatation. Lord's dilatation reported slightly higher immediate postoperative pain relief than LIS. Complications were minimal and comparable between both the groups. Overall patient improvement was better in the LIS group, correlating with the lower incidence of complications and better long-term outcomes.
Conclusion: The study concludes that both procedures were viable, LIS may offer a better overall treatment profile in terms of healing rates and recurrence, supporting its preferential use in clinical settings for chronic anal fissure.
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Dr. Shubhangee Garg
3rd year PG Resident, Department of General Surgery, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh
Dr. Shalabh Gupta
Professor and Head, Department of General Surgery, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh
Dr. Amit kumar
Professor, Department of General Surgery, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh