NCT03426449

Posterolateral Versus Lateral Internal Anal Sphincterotomy for Chronic Anal Fissure

Posterolateral Versus Lateral Internal Anal Sphincterotomy for Chronic Anal Fissure: A Randomized Clinical Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 80 (actual)
• Sponsor: Mansoura University · Academic / Other
• Sex: All
• Age: 16 Years – 65 Years
• Healthy volunteers: Not accepted

Summary

The present study aimed to compare the standard lateral internal sphincterotomy at 3 o'clock with posterolateral internal sphincterotomy at 5 o'clock in regards healing time, postoperative recurrence and complications, particularly fecal incontinence.

Detailed description

The present study aimed to compare the standard lateral internal sphincterotomy at 3 o'clock with posterolateral internal sphincterotomy at 5 o'clock in regards healing time, postoperative recurrence and complications, particularly fecal incontinence. We hypothesized that performing internal sphincterotomy in a point midway between the standard lateral position and the posterior midline position would confer better healing and relief of symptoms with less incidence of fecal incontinence while avoiding the development of keyhole deformity.

Conditions

• Anal Fissure

Interventions

Type	Name	Description
PROCEDURE	posterolateral sphincterotomy	Fissurectomy and limited division of internal anal sphincter at 5 o'clock position for 8-10 mm
PROCEDURE	lateral sphincterotomy	Fissurectomy and limited division of internal anal sphincter at 3 o'clock position for 8-10 mm

Timeline

• Start date: 2015-01-01
• Primary completion: 2017-07-30
• Completion: 2018-01-01
• First posted: 2018-02-08
• Last updated: 2018-02-09

Locations

1 site across 1 country: Egypt