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COMBINED LATERAL INTERNAL SPHINCTEROTOMY AND ANAL ADVANCEMENT FLAP FOR TREATMENT OF CHRONIC ANAL FISSURE

Muhammad Zuhair, Abdul Ghani Jan, Maheeb ullah

The health issue selected for study here is a common phenomenon among the patients who have chronic constipation and fissure problem. Different treatments are given to the patients but Lateral internal Sphincterotomy and anal advancement flap are the treatments recommended when no other treatment show improvement. Every treatment has its own drawbacks. The present paper will be helpful in analyzing both the techniques. Method: This research study was conducted on 60 patients who suffered with fissure and constipation. Patients were divided in two groups (group x and group y) and both techniques were applied AAP (group x) and LIS (group y). The study was conducted in Lahore General Hospital from the time period of October 2018 to March 2019. Results: Medical history and demographic data was also recorded of the selected sample. When compared in the healing and pain management the AAP seems attractive in terms of recovery and relief of constipation as compared to the LIS. Both males and females were the victim of the disease due to many medical reasons and life style Conclusion: Both techniques are suitable according to the condition of the patients but AAF is considered super in terms of early recovery and lesser pain after the operation. Return to normal life is fast in AAF. Keywords: Chronic constipation. Fissure, LIS, Mucosal advancement, infection, Anal Advancement Flap.

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