Digestive System Surgery
Conditions
Interventions
Sponsors
Mansoura Center for Colorectal Surgery
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients suffering from a posterior circumscribed ulcer accompanied by a sentinel skin tag, indurated edges, and exposure of horizontal fibers of the internal anal sphincter, along with symptoms of post-defecatory or nocturnal pain, bleeding, or both, persisting for over two months.
Exclusion criteria
Exclusion criteria: 1- acute anal fissure or recurrent anal fissures 2- Fecal incontinence 3- Associated anal pathologies (e.g., hemorrhoids, anal fistula, anorectal abscess, or rectal cancer) 4- Atypical fissures caused by inflammatory bowel disease 5- Prior anal or rectal surgery 6- Refusal to participate in the study 7- Conditions impairing wound healing (e.g., uncontrolled diabetes with HA1c = 7%, use of immunosuppressive drugs) 8- Patients classified as American Society of Anesthesiologists (ASA) Class > II
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative pain assessment using the VAS score | — |
Secondary
| Measure | Time frame |
|---|---|
| Quality of Life assessment using the SF-12;Postoperative complications including bleeding, discharge, abscess, fistula, delayed wound healing, and recurrence | — |
Countries
Egypt
Contacts
Public ContactMohammad Fathy
Specialist of General Surgery at Mansoura University Hospita
Outcome results
None listed