Abstract
Aim: To find out a suitable surgical treatment for chronic anal fissure as a day care procedure.
Methods:-This study was carried out in the Nishtar Hospital, Multan in the department of Surgery from March 2012 to December 2012. A total of 105 patients were included in the study for day care surgery. All patients were divided into two groups.
Results: Out of 105 patients, 76( 72.4%) were male and remaining 29( 27.6%) were female patients. The chief complain of most of the patients was pain on defecation. Majority of the patients was falling in age group 31-40 years. Fissure in ano was present at posterior midline in 90( 91%) whereas at the anterior midline it was in 10( 10%) patients. Pain on defecation was found in all patients. Constipation was observed in 95 ( 95%) patients and bleeding per rectum in 72( 72%) patients.
Conclusion: It is clear in the study the gold standard technique for chronic anal fissure is lateral internal sphincterotomy either with closed or open technique.