Abstract

Enduring the disease and curing internal sphincter spasm while maintaining continence is the aim of treating the anal fissure. Although they can lead to issues like decreased anal continence, surgical techniques such as lateral internal sphincterotomy or manual anal dilatation have a positive healing impact. We wanted to study the effects of lateral internal sphincterotomy and the application of 2% diltiazem gel. METHODS At Government Vellore Medical College, 100 patients of both sexes, ages 20 to 60, who had recurrent symptoms of fissure in ano for longer than six weeks, participated in this two-year observational study. Patients were chosen at random for either surgery or diltiazem therapy. Patients who were chosen to get diltiazem therapy were told to implant the gel twice daily, up to a 1.5–2 cm length. Spinal anaesthesia was used for the internal sphincterotomy procedure. Post-surgery complications like haemorrhage and hematoma were noted. For a descriptive analysis, the results were tabulated.

Description