Abstract

The aim of the study is to compare Study of Medical Management v/s Lateral Internal Sphincterectomy (LIS) in Anal Fissure. Lateral internal sphincterotomy was performed in a standard open technique. A 1to2 cm circumferential incision was made over the free edge of the internal sphincter. Blunt dissection was used to open the plane inside and outside the internal sphincter to free it. The free lower edge of the internal sphincter was then grasped, drawn into the wound and it’s distal portion was divided. Results: Mean duration of time of pain relief in cases of Medical Management was 7 days as compared to 3 days in lateral internal sphincterotomy with advancement. In our study complete healing was achieved earlier (9 days) in lateral internal sphincterotomy group compared to medical management alone group were healing achieved after 10 days. Conclusion: Lateral internal sphincterotomy is standard procedure for patients with chronic anal fissure. Improvement of postoperative pain relief and patient comfort was same in both procedure. There was no increase in rate of recurrence during the six months follow up period. Earlier and quicker healing of fissure noted.

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