The Efficiency of Lateral Internal Anal Sphincterotomy by Closed Method Under Local Anaesthesia as an out Patient Procedure

Khalid Ghareeb; Ramadan Elamyal

doi:10.51984/wr4hja97

Authors

Khalid Ghareeb Department of General Surgery, Ibn Sena Teaching Hospital, Sirte, Libya
Ramadan Elamyal Department of General Surgery, Ibn Sena Teaching Hospital, Sirte, Libya

DOI:

https://doi.org/10.51984/wr4hja97

Keywords:

Lateral internal anal sphincterotomy, Chronic anal fissure

Abstract

Introduction: Chronic anal fissure is one of the main proctological disorders encountered in surgical outpatient departments, due to its high prevalence and the discomfort involved.

Aim of the study: is to determine the efficacy of the procedure of lateral internal sphincterotomy by closed method under local anaesthesia as an outpatient procedure.

Methods &Materials: The clinical study was undertaken in all 75 patients (mean age 35 years) undergoing lateral closed sphincterotomy for chronic anal fissure (defined as anal fissure with > 6 weeks symptom duration) from June 2005 to May 2006 who admitted in Surgical OPD, Ibn Sena Hospital, Sirte rejoin.

Results: Out of 70 studied cases, 41 patients (58.5%) were females and 29 patients (41.4%) were males. Age ranged from 16-63 years with the mean age of 35 years. Post-operatively, early complications included minor bleeding in 2 patients (3.4%( and incontinence of flatus in 5 patients (8.6%).

Conclusion: Lateral internal anal sphincterotomy by closed method under local anesthesia as an outpatient procedure has very good results in patients with chronic anal fissure who do not respond to conservative treatment.

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