Title: Clinical Evaluation of the Need for Intervention in an Anorectal Fissure
Authors: N.V. Ramu Garikipudi, B. Suryanarayna, S. Spandana
DOI: https://dx.doi.org/10.18535/jmscr/v10i8.03
Abstract
Introduction: Anal fissure is one of the most common benign Anorectal conditions. Acute fissures usually are superficial and heal with conservative management. Fissures lasting greater than two months with features of chronicity are unlikely to heal with conservative management. Fissures due to an underlying disease are also unlikely to resolve with conservative management.
Methodology: A total of 100 patients were involved in prospective, randomized observational study in department of General Surgery admitted with fissure in ano in NRI Medical College and General Hospital. Patient belonging to 10 to 70 years presenting with anal fissures included in this study.
Conclusion: Patient with stigmata like multiple skin tags, hypertrophied anal papillae, visible transverse fibres at the base of fissure, multiple fissures, conservative management might be wastage of time and resources. So patients with these stigmata should be advised surgical management.
Keywords: Anal fissure, sentinel skin tag, anal sphincter.
