MANEJO QUIRÚRGICO DE LA FISURA ANAL CRÓNICA EN EL SERVICIO DE PROCTOLOGÍA DEL HOSPITAL GENERAL LUIS VERNAZA. 2015 – 2016

Abstract

Introduction: This study was performed at the Luis Vernaza Hospital in patients diagnosed with chronic anal fissure who received surgical treatment. Objective: To determine the type of surgical management of chronic anal fissures in the proctology department of the Luis Vernaza hospital .2015-2016 Materials and methods: the study was retrosprospectivo descriptive. A sample of 94 patients who received surgical treatment with techniques such as physectomy alone or combined with other techniques such as sphincterotomy, anoplasty or sphincteroplasty were sampled. Results: Chronic anal fissure presented more frequently in the age group over 40 years, with 61.8%, the predominance of women with 61.8% compared to men, which was 38.2%, the typical clinical picture of pain and Rectal bleeding was of 70.2%, the most frequent location in the posterior sector with 58.5% and in the anterior sector with 25.5%, the most used surgical technique was fisurectomy followed by fisurectomy plus partial posterior sphincterotomy with 58.6% and 19.1% % Respectively, the only complication was granuloma in 7.4%. Conclusion: the site of major involvement was in the posterior sector, surgical management in chronic anal fissures with techniques such as fisurectomy and combined with partial posterior sphincterotomy are an optimal treatment with low complication rates.