Comparison of The Postoperative Outcomes  of Surgical Lateral Internal Sphincterotomy and Botulinum Toxin Injection in Patients Presenting With Chronic Anal Fissure At CMH, Rawalpindi

Authors

  • Syeda Rifaat Qamar Naqvi Department of Surgery, Combined Military Hospital /National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Saadan Saleem Department of Surgery, Combined Military Hospital /National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Mansoor Tariq Azim Department of Surgery, Pak Emirates Military Hospital Rawalpindi /National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Aimen Luqman Department of Surgery, Combined Military Hospital /National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Malik Muhammad Jalil Department of Surgery, Combined Military Hospital Lahore /National University of Medical Sciences (NUMS) Pakistan
  • Khurram Sarfraz Ganga Ram Hospital, Lahore

DOI:

https://doi.org/10.51253/pafmj.v74i5.8449

Keywords:

Botulinum Toxin Injection; Chronic Anal Fissure; Lateral Internal Sphincterotomy

Abstract

Objective: To compare the postoperative outcomes in Lateral Internal Sphincterotomy Group and in Botulinum toxin injection Group in patients managed for chronic anal fissure.

Study Design: Quasi-experimental study.

Place and Duration of Study: Department of Surgery, Combined Military Hospital, Rawalpindi Pakistan, from Aug 2021 to Feb 2022.

Methodology: All patients of either gender, aged 30 to 70 years, who had presented to CMH, were included in this study. Block randomization was done to allocate half of them to Lateral Internal Sphincterotomy and half to Botulinum toxin injection. Patients in both Groups were followed for four weeks to assess and compare various short and long term post-surgical outcomes.

Results: There were 82 patients in total with 41 in each treatment arm. In the Lateral Internal Sphincterotomy Group, 35 85(37%) of the patients reported postoperative pain relief at 24 hours, 39(95.12%) patients healed, only 2(4.88%) patients had a recurrence. In the Botulinum toxin Group, 29(70.73%) reported postoperative pain relief at 24 hours, 35(85.37%) patients healed, whereas 6(4.63%) had a recurrence. There was no statistical difference in any parameter between either Group.

Conclusion: Both methods did not show any statistically significant difference in post-operative outcomes thus other parameters like patient’s choice, cost and expertise may be considered in treatment of chronic anal fissure.

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Published

31-10-2024

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Original Articles

How to Cite

1.
Naqvi SRQ, Saleem S, Mansoor Tariq Azim, Aimen Luqman, Malik Muhammad Jalil, Khurram Sarfraz. Comparison of The Postoperative Outcomes  of Surgical Lateral Internal Sphincterotomy and Botulinum Toxin Injection in Patients Presenting With Chronic Anal Fissure At CMH, Rawalpindi. Pak Armed Forces Med J [Internet]. 2024 Oct. 31 [cited 2024 Dec. 3];74(5):1420-3. Available from: https://pafmj.org/PAFMJ/article/view/8449