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Paper Information

Journal:   ACTA MEDICA IRANICA   2016 , Volume 54 , Number 7; Page(s) 437 To 440.
 
Paper: 

CHRONIC ANAL FISSURE: A COMPARATIVE STUDY OF MEDICAL TREATMENT VERSUS SURGICAL SPHINCTEROTOMY

 
 
Author(s):  MOTIE MOHAMMAD REZA*, HASHEMI PARHAM
 
* DEPARTMENT OF GENERAL SURGERY, SURGICAL ONCOLOGY RESEARCH CENTER, MASHHAD UNIVERSITY OF MEDICAL SCIENCES, MASHHAD, IRAN
 
Abstract: 

To determine whether the medical Treatment of anal fissure can be an effective alternative for surgery Methods: Retrospectively, we randomly selected 190 Patients being treated for anal fissure between the years 2005-2010 in 3 equal groups: group A: Patients who received medical treatment with topical nitroglycerin, group B: Patient treated with topical diltiazem, and group C: Patients underwent surgery. The results were then correlated with the statistical program SPSS usingchi -square test. Main complaints of the patients were first anal pain and then bleeding. The response to treatments for relieving pain was: 77% in A, 83% in B, and 98% in group C. Response of treatments for fissure healing, in order of groups A, B and C was: 74%, 83%, and 94%. Despite good response to medical treatment, surgical treatment was more effective and medical treatment of choice in patients who are willing to have surgery.

 
Keyword(s): ANAL FISSURE, DILTIAZEM OINTMENT, NITROGLYCERIN, LATERAL INTERNAL SPHINCTEROTOMY
 
 
References: 
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Citations: 
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+ Click to Cite.
APA: Copy

MOTIE, M., & HASHEMI, P. (2016). CHRONIC ANAL FISSURE: A COMPARATIVE STUDY OF MEDICAL TREATMENT VERSUS SURGICAL SPHINCTEROTOMY. ACTA MEDICA IRANICA, 54(7), 437-440. https://www.sid.ir/en/journal/ViewPaper.aspx?id=510231



Vancouver: Copy

MOTIE MOHAMMAD REZA, HASHEMI PARHAM. CHRONIC ANAL FISSURE: A COMPARATIVE STUDY OF MEDICAL TREATMENT VERSUS SURGICAL SPHINCTEROTOMY. ACTA MEDICA IRANICA. 2016 [cited 2021July26];54(7):437-440. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=510231



IEEE: Copy

MOTIE, M., HASHEMI, P., 2016. CHRONIC ANAL FISSURE: A COMPARATIVE STUDY OF MEDICAL TREATMENT VERSUS SURGICAL SPHINCTEROTOMY. ACTA MEDICA IRANICA, [online] 54(7), pp.437-440. Available: https://www.sid.ir/en/journal/ViewPaper.aspx?id=510231.



 
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