Chronic anal fissure. Chronic anal fissure
Conditions
Interventions
Intervention 1: first Intervention group: in this group patients will undergo closed partial lateral internal sphincterotomy. In this prosedure while nondominant index finger of surgeon is inserted in
Treatment - Surgery
first Intervention group: in this group patients will undergo closed partial lateral internal sphincterotomy. In this prosedure while nondominant index finger of surgeon is inserted in anal canal, num
Secound Intervention group: in this group patients will undergo open surgery. In this procedure an incision, half to one centimeters long, is made on dermal-anodermal junction in inter sphincteric pla
Sponsors
Arak University of Medical Sciences
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: patients with chronic anal fissure who failed to respond to medical therapy after two weeks
Exclusion criteria
Exclusion criteria: recurrent chronic anal fissure or concomitant anal disease including anal fistula, abcess, malignancy and inflammatory bowell disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Wound cure rate. Timepoint: fourth and twelfth post operative days and six mounths after surgery. Method of measurement: clinical examination for assessing healing of fissure and surgical site wound.;Post operative pain. Timepoint: first and fourth and twelfth post operative days. Method of measurement: screening with a 0–10 pain intensity Numeric Rating Scale.;Post operative hemorrhage. Timepoint: first post operative day. Method of measurement: number of blood drenched gauzes of wound dressing during first post operative day.;Post operative infection. Timepoint: first, fourth and twelfth post operative days. Method of measurement: examination for signs of cellulitis, wound discharge, induration and necrosis. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr. Sasan Habib Akhyari
Arak University of Medical Sciences
Outcome results
None listed