Posterolateral Versus Lateral Internal Anal Sphincterotomy for Chronic Anal Fissure
- Conditions
- Anal Fissure
- Registration Number
- NCT03426449
- Lead Sponsor
- Mansoura University
- Brief Summary
The present study aimed to compare the standard lateral internal sphincterotomy at 3 o'clock with posterolateral internal sphincterotomy at 5 o'clock in regards healing time, postoperative recurrence and complications, particularly fecal incontinence.
- Detailed Description
The present study aimed to compare the standard lateral internal sphincterotomy at 3 o'clock with posterolateral internal sphincterotomy at 5 o'clock in regards healing time, postoperative recurrence and complications, particularly fecal incontinence. We hypothesized that performing internal sphincterotomy in a point midway between the standard lateral position and the posterior midline position would confer better healing and relief of symptoms with less incidence of fecal incontinence while avoiding the development of keyhole deformity.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 80
- Adult patients of both genders with chronic posterior anal fissure were included to the study.
- Patients with anterior or lateral anal fissure,
- patients with previous anal surgery,
- patients with concomitant anorectal pathology,
- patients with secondary anal fissure due to Crohn's disease or other specific etiology,
- patients with any degree of fecal incontinence,
- patients with active anorectal sepsis.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Duration of healing 6-8 weeks after surgery The time to complete healing of anal wound defined by complete epithelization of the wound
- Secondary Outcome Measures
Name Time Method Anal pain 1-6 weeks after surgery Degree of postoperative pain assessed by pain visual analogue scale ranging from 0-10 where 0 indicates no pain and 10 indicates the worst possible pain
Trial Locations
- Locations (1)
Mansoura university hospital
🇪🇬Mansourah, Dakahlia, Egypt
Mansoura university hospital🇪🇬Mansourah, Dakahlia, Egypt