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Document Type

Original Article

Abstract

Background: A longitudinal rupture in the anoderm below the dentate line, called an anal fissure, is most often seen posteriorly in the midline. One of the most prevalent benign disorders of the aorta. The American Society of Colon and Rectal Surgeons (ASCRS) advises choosing conservative therapy as the first course of action, which includes a high-fiber diet, warm sitz baths, and stool softeners. However, a substantial portion of patients do not benefit from this cautious approach. Surgical interventions are considered the second choice however, commonly associated with risk of a transient incontinence Patients and Methods: This was Randomized Prospective research carried out in General Surgery Department in Al-Hussein University Hospital and Damanhour National Medical Institute including 80 patients having chronic anal fissure. patients were randomly split into 2 groups, Group A: 40 patients managed by Medications for 6 weeks and Group B: 40 patients managed surgically by Tailored lateral internal sphincterotomy and fissurectomy. Results: There was a substantial variation between the two studied groups as regard pain relief, timing, recurrence rate and satisfaction. Postoperative complications were only present in surgical group and no complications in medical group. Conclusion: Based on our result, we conclude that: conservative and medical treatment are having a rule in treatment of chronic anal fissure, especially when surgical treatment Can't be given. Surgical treatment has more cure rate and less recurrent rate and may be the only available effective method when conservative and medical treatment failed

Keywords

Chronic Anal Fissure; Sphincterotomy; Fissurectomy

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