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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
80
Fissurectomy and limited division of internal anal sphincter at 5 o'clock position for 8-10 mm
Fissurectomy and limited division of internal anal sphincter at 3 o'clock position for 8-10 mm
Mansoura university hospital
Al Mansurah, Dakahlia Governorate, Egypt
Duration of healing
The time to complete healing of anal wound defined by complete epithelization of the wound
Time frame: 6-8 weeks after surgery
Anal pain
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
Time frame: 1-6 weeks after surgery
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