Comparison of healing rate between surgical and nonsurgical management of acute anal fissure

Aim: to compare healing rate between surgical and nonsurgical management of acute anal fissure. methods: this randomized controlled trial was conducted at department of surgery bahawal victoria hospital bahawalpur from jan 2016 to june 2016. total 100 patients with acute anal fissure both male and female having age range from 20-60 years were selected for this study. results: total 100 patients were included in this study. mean age of the patients was 40.75±12.75 years,mean age of the patients of group a was 40.41±10.65 years and mean age of the patients of group b was 40.09±11.95 years. patients of group a managed with lateral internal sphincterotomy and patients of group b managed with gtn 0.2% cream. healing rate was 43 (86%) in patients of group a and 31(62%) patients of group b. difference between the healing rate of group a and b was statistically significant (0.008). conclusion: findings of present study revealed that frequency of healing in patients with acute anal fissure is better in patients managed with lateral internal sphincterotomy as compare to patients managed the gtn cream. in male patients there is no statistical difference between healing rate of both groups but female patients found with higher healing rate in lateral internal sphincterotomy group as compare to gtn cream group. results of this study also reflected that there is insignificant difference different age group of both study groups.