Manual dilatation of the anus vs. Lateral subcutaneous sphincterotomy in the treatment of chronic fissure-in-ano

1987 ◽  
Vol 30 (6) ◽  
pp. 420-423 ◽  
Author(s):  
R. M. Weaver ◽  
N. S. Ambrose ◽  
J. Alexander-Williams ◽  
M. R. B. Keighley
Keyword(s):  
Fissure In Ano ◽  
Manual Dilatation

Dietary Modifications in Fissure-in-ano: A Qualitative Study Based on Persian Medicine

2020 ◽  
Vol 16 (6) ◽  
pp. 860-865
Author(s):  
Sedigheh Tavakoli-Dastjerdi ◽  
Mandana Tavakkoli-Kakhki ◽  
Ali R. Derakhshan ◽  
Azam Teimouri ◽  
Malihe Motavasselian
Keyword(s):  
Modern Medicine ◽  
Integrative Approach ◽  
Future Research ◽  
Common Disease ◽  
Fissure In Ano ◽  
High Fiber ◽  
Baked Goods ◽  
Persian Medicine

Background: Anal fissure (AF) is a common disease associated with severe pain and reduced quality of life. Factors related to lifestyle, including diet and bowel habits, play a pivotal role in its pathogenesis. Most of the chronic fissures are not responsive to drugs and more likely to recur. Given the significance of diet in Persian medicine (PM), investigation on physiopathology and appropriate foods can be useful for decreases in AF symptoms and consequences. Objective: This study was intended to evaluate the role of diet in the formation and progression of AF from the perspective of PM. Methods: In this study, the most important resources of PM dating back to thousands of years were reviewed. All these textbooks contained a section on AF, its causes, and treatment. Further analysis was performed on these resources in comparison with databank and resources of modern medicine to develop a food-based strategy for AF management. Results: From the view of PM, the warmth and dryness of anus temperament accounted for AF. Both Persian and modern medicine identified constipation as another cause for AF. Therefore, avoidance from some foods and commercial baked goods was recommended. Both Persian and modern medicine forbad the following foods: potato, cabbage, cauliflower, pasta, beef, fish, and so forth. High fiber and oligo-antigen diets with some limitations have garnered more attention. Conclusion: An integrative approach is recommended employing both Persian and modern medicine for AF. There have been some evidence in this regard, however standardized clinical trials are required for future research.

Clinical evaluation of Kasisadi Ghrita local application in Parikartika (Fissure-in-ano)

2019 ◽  
Vol 4 (04) ◽  
Author(s):  
Mamta Gopalrao Mate ◽  
D. N. Farande ◽  
Vinay M. Pandey ◽  
Snehal Kukade
Keyword(s):  
Clinical Evaluation ◽  
Severe Pain ◽  
Signs And Symptoms ◽  
Study Trial ◽  
Local Application ◽  
Trial Group ◽  
Age Group ◽  
Fissure In Ano

Background: Parikartika is characterized by sharp cutting pain in anal regionIn Parikartika, Teevrashoola, bleeding is seen, similarly severe pain and slimy blood discharge are seen in Fissure-in-ano. Objective: To assess the efficiency of Kasisadi Ghruta local application in the management of fissure-in-ano. Methods: The patient having classical signs and symptoms of Parikartika (fissure in ano) having Age group 20 to 60 years were recruited for the study. Trial group was treated with Kasisadi Ghruta twice a day local application for 28 days. Results: Average relief observed was 62.5% in most of symptoms. Kasisadi Ghruta is having Shothahara, Vedanasthapana and Ropana properties due to which it helps in healing of fissure in ano. Conclusion: Kasisadi Ghruta local application is having better results in fissure-in-ano.

Fissure-in-ano: The initial management and prognosis

1977 ◽  
Vol 64 (5) ◽  
pp. 355-358 ◽  
Author(s):  
M. R. Lock ◽  
James P. S. Thomson
Keyword(s):  
Fissure In Ano ◽  
Initial Management

scholarly journals ANAL FISSURE;

2008 ◽  
Vol 15 (04) ◽  
pp. 420-424
Author(s):  
AZEEM HASHMAT ◽  
TAHIRA ` ISHFAQ
Keyword(s):  
Clinical Trial ◽  
Side Effects ◽  
Glyceryl Trinitrate ◽  
Anal Fissure ◽  
Healing Rate ◽  
Anal Verge ◽  
Prospective Clinical Trial ◽  
Fissure In Ano ◽  
Presenting Symptoms

Objective: To evaluate the efficacy of glyceryl trinitrate (GTN) preparation for the treatment fissure in-ano. Design: This studyis a prospective clinical trial. Place and duration: this was conducted initially at PMC Faisalabad and other centers from November 2001 toonward for the period of five years. Patients and Methods: Out of 306 patients, 42 disliked/ refused this modality of treatment and waslaunched on 264 patients. 114 patients never followed up so, were excluded from the study. The remaining 276 patients applied 0.2% glyceryltrinitrate preparation on their anal verge thrice a day for two months. The patients were followed up at 1 to 12 weeks. The extent of st thimprovement in the presenting symptoms, side effects and complications were noted on questionnaires. Results: A healing rate of 64.3%, andrecurrence occurred in 35.7 %. 72 patients demanded surgery after failure/ non-compliance of GTN ointment treatment. Conclusion: glyceryltrinitrate preparation is a safe and effective modality for the treatment of fissure in-ano.

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