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A new and effective topical treatment method in chronic anal fissure and itscomparison with surgical treatment

Author: 
Mesut Sipahi, Hasan Borekci, Sinan Karacabey, Elif Borekci, Zeynep Tugba Ozdemir and Mustafa Atli
Subject Area: 
Social Sciences and Humanities
Abstract: 

Objectives: Chronic anal fissure is one of the most common disorder in the anal region. In the treatment, surgical methods and topical treatments are used together or as a single. In this study, we aimed to investigate the effectiveness of a new medical topical treatment combination and its comparison with lateral internal sphincterectomies in chronic anal fissure. Materials and Methods: A total of 144 chronic anal fissure patients, were divided into two groups. In the topical medical treatment group, a topical cream mixture that includes bacitracin, neomycin sulfate, neomycin, diltiazem, dexapanthenol was applied in the anal region in 82 patients. In the surgery group, 62 patients underwent surgery. After the treatment, defecation pain scores, stool bleeding, healing, gas-fecal incontinence, treatment-related side effects were evaluated in two groups. Results: Recovery rates were higher in the surgical treatment group (93.5%) according to the topical treatment group (82.9%). The visual analog pain scores were higher in the surgical group too. But gas-fecal incontinence ratio, severity of pain with defecation were significantly different as supporting the medical treatment. Conclusion: We would like to underline that of medical treatment in patients with chronic anal fissure can be applied before surgical treatment.

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