Acute fissure in ano, disease of young age is frequently associated with early hemorrhoids. The condition usually presents with severe pain, spasm and needs emergency Lateral internal sphincterotomy LIS. Results of LIS are extremely rewarding. Additionally, effect of LIS on early hemorrhoids needs to be studied. Prospective observational study of Patients of acute fissure in ano was conducted in Dr D. Patil hospital and research center, Pune over 2 years.
Identifying the best therapy for chronic anal fissure
Lateral Internal Sphincterotomy: Before Your Surgery
The patients were distributed randomly between two equal groups: Both groups were evaluated for postoperative pain, postoperative fissure healing, and postoperative complications. No patient in either group was affected with anal stenosis or perianal infections. Menoufia Med J ; Pain may persist for many hours after defecation, which is much distressing to patients. Conversely, chronic anal fissure persists much longer, and it does not heal without intervention.
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Madalinski MH solely contributed to this paper. This article has been cited by other articles in PMC. Abstract Chronic anal fissure CAF is a painful tear or crack which occurs in the anoderm. The optimal algorithm of therapy for CAF is still debated. It relieves CAF symptoms with a high rate of healing.
Before Your Surgery What is lateral internal sphincterotomy? Lateral internal sphincterotomy is surgery to help heal an anal fissure that has not improved with medicine or other treatments. An anal fissure is a tear in the lining of the anus. During the surgery, the doctor puts a lighted tube called an anoscope, or scope into the anus. The doctor is able to see the inside of the anus through the scope.