Abstract

Anal fissures are most caused by damage to the lining of the anus or anal canal, the last part of the large intestine. Most cases occur in people who have constipation when a particularly hard or large stool tears the lining of the anal canal. Postoperative pain relief especially using analgesic drugs with minimal side effects has considerable clinical importance. Aim: - This study was undertaken to compare the role of paracetamol and diclofenac sodium in post-anal fissure surgery pain. Materials and Methods: A prospective study was conducted at NCMCH, Panipat This study included 50 patients who were admitted to IPD, and underwent anal fissure surgery at age 25-60 years. All measurements were performed using standard methods in the literature. A visual analog scale was used to assess the pain score. Side effects of drugs were noted. Results: The study results confirm that Paracetamol was more effective in the management of post-surgical pain. We divided 50 patients into two groups. Group 1 was treated for the management of post-surgical pain with diclofenac sodium and Group 2 with paracetamol. Our findings revealed a statistically significant improvement of 85% in Group 2 as compared to Group 1. Conclusion: - In conclusion, the agent PCM to be used for the management of postoperative anal fissure surgical pain is desired to relieve the pain effectively

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