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Randomised controlled trial of fissurectomy and botulinum toxin injection versus island flap in the management of chronic anal fissure

Completed
Conditions
Surgery: Fissurectomy
Surgery
Fissurectomy
Registration Number
ISRCTN55110272
Lead Sponsor
Record Provided by the NHSTCT Register - 2006 Update - Department of Health
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
70
Inclusion Criteria

1. Chronic anal fissure resistant to 6 weeks GTN therapy
2. Features of fissure chronicity (skin tag, induration)
3. Suitable for day case surgery

Exclusion Criteria

1. Concurrent peri-anal disease
2. Previous fissure surgery

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Healing rates of anal fissure at 4, 12 and 24 weeks post surgery.
Secondary Outcome Measures
NameTimeMethod
1. Pain on defecation as assessed by Visual analogue score for 10 days post surgery <br>2. Patient's general health as assessed by SF-12 questionnaire at 24 weeks<br>3. Continence at 4, 12 and 24 weeks post surgery as assessed by the Cleveland incontinence score
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