Health Condition 1: K601- Chronic anal fissure
Conditions
Interventions
Intervention1: Laser Internal Sphincterotomy
: Laser-assisted partial division of the internal anal sphincter for treatment of chronic fissure in ano.
Intervention2: Lateral Internal Sphincterotomy
:
Sponsors
DR SIMRAN KEWALRAMANI
Eligibility
Inclusion criteria
Inclusion criteria: 1.Adults aged 18 to 75 years diagnosed with chronic fissure-in-ano 2.Patients who have not responded to conservative therapy (including dietary modifications, sitz baths, and topical agents) administered for at least six weeks. 3.Patients assessed to be medically fit for elective surgery under spinal or general anesthesia (ASA physical status I or II). 4.Individuals who have provided informed written consent to participate in the study and follow postoperative evaluation protocols.
Exclusion criteria
Exclusion criteria: 1. Patients with acute fissure-in-ano. 2. Presence of associated anorectal disorders, such as complex fistula or malignancy. 3. Cases of fissures occurring secondary to systemic conditions like Crohn s disease, ulcerative colitis, tuberculosis, HIV, or other chronic infections. 4. History of previous anorectal surgery, particularly procedures involving the sphincter. 5. Patients with coagulation disorders or those receiving long-term anticoagulant therapy. 6. Patients with neurological deficits affecting anorectal continence or pelvic floor function. 7. Individuals with significant systemic illness (ASA grade III or higher) rendering them unfit for surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Complete healing of chronic anal fissure, defined as epithelialization of the fissure with absence of pain during defecation, assessed at 6 weeks following surgery.Timepoint: Complete healing of chronic anal fissure, defined as epithelialization of the fissure with absence of pain during defecation, assessed at 6 weeks following surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative pain relief assessed using VAS score, time to complete fissure healing,anal incontinence assessed by Wexner score; postoperative complications; recurrence rate, duration of hospital stay, & time to return to normal activities.Timepoint: 4 weeks | — |
Countries
India
Contacts
Public ContactDr Rajiv Sonarkar
datta meghe institute of medical sciences
Outcome results
None listed