Department of surgery, Collage of medicine, Tikrit University, Iraq
Full Length Research Paper
Author(s): Jameel I Azzawi
Background: The more painful cause of excruciating anal pain is anal fissures. An anal fissure, known as a fissure-in-ano, is a vertical split that runs from the anal margin proximally to the dentate line but does not go past it.
Aim: Compare the fissure healing process and side effects of a smooth muscle relaxant, topical treatment 2% diltiazem gel, with lateral internal anal sphincterotomy (LIS) in the treatment of chronic anal fissures.
Materials and Methods: Random controlled trial was dine in Surgical unit Samarra General Hospital, from October 2018 to August 2019 with 6 months follow-up. The study included 60 cases chronic anal fissure surgery outpatients and/or hospitalized patients were randomly grouped into one of two groups: Group A (topical Diltiazem gel) or Group B (lateral internal sphincterotomy operation),.. Read More»
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