Abstract

An anal ssure is dened as a longitudinal split in the distal anoderm which extends from the anal verge to the dentate line. A high percentage of acute ssures heal spontaneously within three weeks with conservative medical management comprising of a high bre diet, warm sitz bath, and topical analgesic with steroids. The lateral internal sphincterotomy (LIS) is one of the most practiced treatments for chronic anal ssure. Nonetheless, anal incontinence is one of the worrisome complications of LIS. Fissurectomy is one of the options among those techniques which address the issues with LIS. The present study was conducted to compare the outcomes of lateral internal sphincterotomy with ssurectomy and lateral internal sphincterotomy in the treatment of chronic anal ssure and compare recurrence and postoperative complications among both the procedures

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