PMID: 24353726Dec 20, 2013Paper

Morbidity associated with treatment of chronic anal fissure

Pakistan Journal of Medical Sciences
Ansar LatifMuhammad Qasim Butt

Abstract

To assess the effectiveness of different modes of treatment of chronic anal fissure as regards improvement of symptoms and complications. 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 distributed in three groups. In "OBG group", patients had attended Gynae/Obs OPD and got treated and were then referred to surgical OPD for failure of treatment or recurrence. Patients who presented with history of treatment by GPs were included in "GP Group" "SGR Group" included those who directly reported to surgical OPD for treatment. Patients were managed both pharmacologically as OPD patients and surgically as admitted patients. Patients were instructed to apply small amounts of 0.2% GTN paste in soft white paraffin, to the anoderm with finger tips three times a day. Patients were evaluated at two-week intervals and at each visit the symptoms control, adverse effects and fissure status were recorded. If there was symptomatic relief or the fissure healing was in progress, the treatment was continued for a total duration of eight weeks. Operated patients were nu...Continue Reading

Citations

May 29, 2014·Expert Review of Pharmacoeconomics & Outcomes Research·Giuseppe BrisindaGiorgio Maria
Apr 24, 2017·Updates in Surgery·J MartellucciI Giani

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