A Comparative Study of Tailored Lateral Sphincterotomy versus Lateral Sphincterotomy for Chronic Fissure in Ano

AIM OF THE STUDY: To compare outcomes like, fecal incontinence, recurrence rate in patients undergoing tailored lateral sphincterotomy and lateral sphincterotomy for chronic fissure in ano Methodology: Under regional anaesthesia, lithotomy position. An incision made in the 3o clock position using 15 blade in the intersphincteric groove and turned medially, Internal sphincter palpated and hooked out using areteryforceps. Length of the fissure is measured and the fibres of internal sphincter are cut upto length below the dentate line. RESULTS: No patients who underwent tailored lateral sphincterotomy developed flatus incontinence, p value ( 0.040). patients who underwent lateral sphincterotomy developed recurrence p value ( 0.046). patients who underwent lateral sphintcterotomy the mean pain score on day 1 was 5.6 when compared to 5.6 in other group p value (-0.975). Mean pain score on day3 for patients who underwent lateral sphintcteroto was 2.8 when compared to 2.7 in other group p value (-0.139). Mean pain score on day5 for patients who underwent lateral sphintcteroto was 1.2 when compared to other group being 1.2 p value (-0.375) CONCLUSION: Due to Significant reduction in faecal incontinence, flatus incontinence and recurrencethis present study concludes that the tailored lateral sphincterotomy can be considered as the primary treatment of choice in the management of Chronic fissure in ano,