Comparison between Lateral Internal Sphincterotomy And Lord’s Operation for Chronic Anal Fissure

Authors

  • Rabeeha Bashir Department of Surgery, Ayub Teaching Hospital, Abbottabad.
  • Mir Jalal-ud-din Department of Medicine, Women Medical College, DHQ Teaching Hospital, Abbottabad.
  • Shawana Asad Department of Surgery, Ayub Teaching Hospital, Abbottabad.
  • Sher Ali Khan Department of Medicine, Women Medical College, DHQ Teaching Hospital, Abbottabad.
  • Bilawal Gul Institute of Kidney Diseases, Peshawar.
  • Shabeena Naz DHQ Hospital Haripur.

DOI:

https://doi.org/10.47489/pszmc8453636569

Keywords:

Anal fissure, Lateral internal sphincterotomy (LIS), Lord's dilatation, fecal incontinence

Abstract

Introduction: Anal fissure is an elongated ulcer in lower anal canal which presents with severe perianal pain during and after defecation with red streaks of blood. Chronic anal fissure is a fissure for more than six weeks with a skin tag (sentinel tag). Surgical options include Lord's dilatation of anus, lateral internal sphincterotomy (LIS) and posterior anal flap.

Aims & Objectives: To compare LIS and Lord's operation in cases of chronic anal fissure in terms of occurrence of incontinence.

Place and duration of study: Department of General Surgery, Ayub Teaching Hospital Abbottabad from September 2018 to March 2019.

Material & Methods: This quasi-experimental study was carried on 92 patients with anal fissure. By convenience (non- probability) sampling patients were divided into two equal groups of 46 patients as group A for LIS and group B for Lord's dilatation. Data was collected on a structured proforma and analyzed using SPSS 20.

Results: Flatus incontinence was observed in 1 (1.1%) fecal incontinence was in 11 (12.0%). Flatus incontinence occurred in 1 (1.1%) patient of group A while no flatus incontinence was reported in patients of group B. Fecal incontinence is observed in 10 (10.9%) patients with group A while 1(1.1%) of patients in group B had fecal incontinence. The result was significant with chi square value 9.614 and p value 0.008.

Conclusion: Lord's dilatation is a better procedure than Lateral internal sphincterotomy in terms of fecal incontinence.

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Published

2022-07-23

How to Cite

1.
Rabeeha Bashir, Mir Jalal-ud-din, Shawana Asad, Sher Ali Khan, Bilawal Gul, Shabeena Naz. Comparison between Lateral Internal Sphincterotomy And Lord’s Operation for Chronic Anal Fissure. Proceedings S.Z.M.C [Internet]. 2022Jul.23 [cited 2022Aug.9];36(3):65-9. Available from: https://proceedings-szmc.org.pk/index.php/szmc/article/view/278