Journal of AdvancedMedical and Dental Sciences Research

Background: Lateral internal sphincterotomy (LIS) remains the gold-standard treatment of chronic anal fissure (CAF). The present study was conducted to assess outcome of lateral splinterotomy in chronic anal fissure. Materials & Methods: 65 patients underwent lateral splinterotomy in chronic anal fissure of both genders. Patients were recalled regularly and outcome was evaluated. Results: Out of 65 patients, males were 30 and females were 35. common complaints were pain during defecation in 92%, rectal bleeding in 84%, pruritis in 25%, constipation in 48% and perianal discharge in 14%. The common complications were rectal bleeding in 27%, perianal abscess in 4%, perianal hematoma in 3.7% and recurrence of lesion in 1.6%. Pain relief was seen at first week in 65%, at second week in 74%, at fourth week in 82% and at eighth week in 96% patients. The difference was significant (P< 0.05). Conclusion: LIS is the gold standard for the treatment of chronic anal fissure and patients found good pain relief. Common complication found was rectal bleeding.