TAILORED LATERAL SPHINCTEROTOMY IN MANAGEMENT OF CHRONIC ANAL FISSURE WITH HYPERTONIC ANAL SPHINCTER. A modified minimal invasive technique and its clinical and manometric outcome.
ABSTRACT: AIM: to do lateral internal sphincterotomy tailored according to length of fissure in patients having hypertonic internal sphincter (IAS) by technique has advantages of open and closed methods. Clinical and anomanometric outcome will be assessed. PATIENTS AND METHODS: 70 patients and 70 controls were subjected to anorectal manometric study. All patients had hypertonic IAS compared with controls. Sphincterotomy was ... Read more