Surgical Treatment of the Crack at the Polyclinic of the Armees of Kati

Primary fissure was the most common proctological pathology after hemorrhoidal disease.Our objectives were to describe the diagnostic and therapeutic aspects of the primary fissure.This was a retrospective study that took place from January 2015 to May 2021 at the Polyclinic of the Armies of Kati.We had surgically treated 40 patients or 33.05%, out of 121 patients with primary fissure.Our inclusion criteria were all cases of primary fissure diagnosed and surgically treated in the surgical department of the Polyclinic of the Armed Forces for the duration of the study.Excluded from the study were medically treated fissures as well as secondary cracks.The average age was 32.9 years ± 10.26.We had recorded 60% of men with a sex ratio of 1.5 in favor of men.Pain was the clinical sign encountered in all patients, 100% of cases.Localizations at the posterior commissure were the most frequent, accounting for 62.5% of cases.The associated pathologies consisted mainly of hemorrhoidal disease 50%, polyp 3.4% malignant tumor 3.4%.HIV serology was voluntary, with only 1 in 8 HIV1 and HIV2 positive cases tested.The traditional treatment had been practiced in 55% of our patients, 42.5% of the patients had a consultation time of more than 2 years.The operative indication was the failure of medical treatment.The crackectomy with dilation had been performed in all our patients or 100% of cases, it was associated with hemorrhoidectomy in 42.5% of cases.The surgical follow-up had been simple in 97.5% of cases at 6 months 85% at 1 year, 95% of patients were satisfied at discharge from the hospital.