Home
About Us
Issues
Authors
Reviewers
Users
Subscription
Our Other Journals
Site map
Aims and Scope
Salient Features
Editorial Board
Editorial Statements
Editorial-PeerReview Process
Publication Ethics & Malpractice
Ijars Performance
Journal Policy
Contact Us
Current Issue
Forthcoming
Article Archive
Access Statistics
Simple Search
Advanced Search
Submit an Article
Instructions
Assistance
Publication Fee
Paid Services
Apply As Reviewer
Acknowledgment
Register Here Edit Register
Register For Article Submission
Login Here Logout
Login For Article Submission
Annual
Buy One Issue
Payment Options
How to Order
JCDR
IJNMR
NJLM

 

Welcome : Guest

Users Online :

 

 

 

 

 

 

 

 

Original article / research

2021
Year :2021 Month : January-February Volume : 10 Issue : 1 Page : SO01 - SO04

Prevalence of Transient Anal Incontinence in Patients Undergoing Lateral Sphincterotomy for Chronic Anal Fissure: An Observational Study

Published: January 1, 2021 | DOI: https://doi.org/10.7860/JCDR/2021/44453.2584
Correspondence Address :
Hrishikesh Maruti Pachpute, Kumar Subrahmanya Vashist, Devbrata Radhikamohan Adhikari,
Devbrata Radhikamohan Adhikari,
Associate Professor, Department of Surgery, Lokmanya Tilak Municipal General Hospital
and Lokmanya Tilak Municipal Medical College, Sion,
Mumbai-400022, Maharashtra, India.
E-mail: docdev84@yahoo.com
Introduction: Introduction: Lateral Internal Sphincterotomy (LIS) is a time-tested procedure of choice in cases of chronic anal fissure.

Aim: To study the rates of transient anal incontinence, pain relief and healing rates of fissure in the operated patients.

Materials and Methods: An observational study was done in the Department of Surgery at a tertiary hospital. A total of 62 subjects who underwent lateral sphincterotomy were included in a study duration of 12 months. Subjects were followed-up at four weeks and eight weeks interval after surgery and the following variables were assessed: prevalence of transient anal incontinence, pain relief and outcome in terms of healing of fissure. The descriptive data was studied using frequencies, percentages, mean and standard deviation and the association of study variables was studied with chi-square test and paired t-test.

Results: In this study, 8.06% subjects (n=5) complained of anal incontinence at eight weeks postsurgery. Also, the anal incontinence at eight weeks (mean score=0.08±0.27) compared to that after four weeks (mean score=0.54±0.97) was significantly decreased (p<0.001). About 17.7% subjects (n=11) had pain at four weeks after surgery with mean pain score of 0.35±0.79 which had significantly improved (p<0.001) at eight weeks interval with only 6.4% subjects (n=4) complaining of pain with mean pain score of 0.08±0.3. The rates of healing of fissures at eight weeks (93.5%, n=58) increased as compared to four weeks follow-up (82.3%, n=51) though this increase in healing rates was not statistically significant (p=0.07).

Conclusion: The severity and rates of anal incontinence and pain relief had significantly improved at eight weeks follow-up as compared to four weeks postsurgery. These results favour the idea that anal incontinence post lateral sphincterotomy is both transient and mild in most patients. Also, there is significant pain relief with good fissure healing rates at the end of eight weeks follow-up interval after surgery.
 
[ FULL TEXT ]   |   [ ]
 

Article Utilities

  • Readers Comments
  • Article in PDF
  • Citation Manager
  • Article Statistics
  • Link to PUBMED
  • Print this Article
  • Send to a Friend

Quick Links

REVIEWER
ACCESS STATISTICS
Home  |  About Us  |  Online First  |  Current Issue  |  Simple Search  |  Advance Search  |  Register  |  Login  |  Contact  |  Privacy Policy  |  Terms of Use
Author Support  |  Submit Manuscript  |  IJARS Pre-Publishing  |  Reviewer  |  Articles Archive  |  Access Statistics
©INTERNATIONAL JOURNAL OF ANATOMY RADIOLOGY & SURGERY (IJARS), ISSN : 2277-8543.
EDITORIAL OFFICE : 1/9, Roop Nagar, Delhi 11000. Phone : 01123848553

* This Journal is owned and run by medical professionals *