Maximal anal dilatation

International Journal of Colorectal Disease. Twenty patients with chronic anal fissure were randomized into two groups. Ten patients were treated with lateral subcutaneous sphincterotomy and 10 with anal dilatation. Anal dilatation was carried out preoperatively, and at 1 and 3 months after the operation in all patients.

Authors: Dr S. Ajay Venkatesh, Dr R. Manoj Chandran, Dr J. Manfred Fernando. After getting the written informed consent from the patients 25 patients were treated with maximum anal dilatation with fissurectomy and the other 25 patients had undergone the lateral anal sphincterotomy procedure for the fissure in ano. Conclusion: In the surgical treatment of chronic anal fissure not responding to conservative management, lateral internal sphincterotomy may be the better Treatment and perhaps the preferable surgical technique with fewer total complications when compared with maximum anal dilatation with Fissurectomy.

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Fissure in ano is a troubling and painful condition that affects a great majority of the population world over. The nature and anatomy of fissure in ano is quite clear, and much is known about the various predisposing and contributing factors that lead to initiation and progression of the disease. The preferred method of treating them, one that results in optimal clinical results and the least pain and inconvenience to the patient, however, has been open to debate. This paper outlines a brief account of the present scenario of different techniques available for the treatment of chronic anal fissure.