ORIGINAL ARTICLE |
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Year : 2014 | Volume
: 27
| Issue : 2 | Page : 419-422 |
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A comparative study between internal sphincterotomy and sentinel pile flap in treatment of chronic anal fissure
O El-Sebai1, AA El-Sisy1, MS Amar1, Mohamed Hamdy El-Shafey2
1 Department of General Surgery, Faculty of Medicine, Menoufiya University, Menoufiya, Egypt 2 Department of General Surgery, Shebin El-Koum Teaching Hospital, Shebin El-Koum, Egypt
Correspondence Address:
Mohamed Hamdy El-Shafey MBBCh, Department of General Surgery, Shebin El-Koum Teaching Hospital, Shebin El-Koum Egypt
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/1110-2098.141718
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Objective
The aim of the study was to compare the results of internal sphincterotomy and sentinel pile flap (SPF) in the treatment of chronic anal fissure.
Patients and methods
This prospective study on consecutive 40 patients was conducted from July 2010 to February 2013. Patients were divided into two groups; 20 patients underwent lateral internal sphincterotomy (LS) and 20 patients underwent SPF. All patients were evaluated with respect to operative time and postoperative complications. Results were documented and statistically analyzed.
Results
The mean time of LS operation was 5.9 ± 0.97 min and that of SPF was 9.2 ± 0.89 min. Flatus incontinence was reported in 8/20 (40%) patients of the LS group and 2/20 (10%) patients of the SPF group; wounds healed within 2 weeks in 12/20 (60%) patients of the LS group and 18/20 (90%) patients of the SPF group; and recurrence occurred in 2/20 (10%) patients of the LS group and did not occur in the SPF group.
Conclusion
On the basis of this study, we conclude that SPF operation has several advantages over LS in treatment of chronic anal fissure. |
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