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Corresponding Author

Abdul-Rahman Hemiedah El-Sayed

Document Type

Original Article

Abstract

Background: A linear defect, or laceration, in the anoderm that is situated between the dentate line and the anal margin, is referred to as an anal fissure. An ulceration with exposed internal anal sphincter muscle fibers at its base and built-up scarred margins is known as a chronic anal fissure.

Objectives: To assess the effectiveness of the LASER approach in treating chronic anal fissures in terms of healing time, incontinence rate, postoperative discomfort, comorbidities, and patient satisfaction with reference to safety and repeatability.

Patients and Methods: This prospective comparative study between two methods of treatment of chronic anal fissures was made in the department of surgery in Al-Azhar University Hospitals, Cairo, Egypt. The study was done in about 11 months between 2022 to 2023. This study included 80 cases presented with chronic anal fissure.

Results: There was no statistically substantial variation between the groups regarding demographic data, clinical symptoms, or the number of postoperative infected cases. There was highly statistically substantial variation regarding the Intraoperative amount of blood loss and healing duration. Pain at day 1 and day 7 was associated significantly with the open group, then the laser group was significantly lower, then at 2 weeks, it was associated only with the open group, and at 30 days, no significant difference was found among groups, and all groups significantly improved regarding pain.

Conclusion: The laser technique is a safe, minimally invasive procedure for the management of chronic anal fissures and is associated with minimal postoperative pain, short hospital stays, and early return to normal activities.

Keywords

Chronic anal fissure; Laser Sphincterotomy; Anal sphincter muscles

Subject Area

General Surgery

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