Comparative study assesses fecal continence outcomes in patients with anal fissures, suggesting benefits of partial sphincterotomy.
Key Points
This study aims to compare the effects of partial and complete lateral anal sphincterotomy on fecal continence and pain in patients with chronic anal fissure.
Comparative, prospective, observational study with 40 adults
Patients divided into two groups: full-length versus partial sphincterotomy
Follow-up visits conducted over 1 month to assess recovery and complications.
Postoperative pain was significantly higher in complete sphincterotomy (70%) compared to partial (20%)
Significantly more bleeding occurred in complete sphincterotomy group (55%) than partial (25%)
Suggests partial sphincterotomy is preferable for patients at risk of fecal incontinence.