Reasons for Refusing Inhalers among patients of Bronchial Asthma & Chronic Obstructive Pulmonary Disease (COPD)

Abstract

Objective: To evaluate the effectiveness of lateral internal Sphincterotomy for the treatment of chronic fissure in ano. Study design: Descriptive and clinical trial. Duration and Place of study: Surgical department of Chaudhry Mohammad Akram Teaching and Research Hospital Lahore from March 2014 to Oct 2015. Methodology: A total of 50 patients with chronic anal fissure were included in this study. 30 patients were male and 20 patients were female. Male to female ratio was 3:2. Majority of patients, n=35 were of age group 30—40 year and n=15 patients were in different age group range 18-65 years. Results: Out of 50 (100%) patients with chronic anal fissure who presented with pain during and after defecation, 30 (60%) were male and 20 (40%) were female. Pain relief occurred in 49 (98%) patients and fissure healed completely in 4—6 weeks, one (2%) patient complained of mild pain and turned out to be ulcerative colitis and referred to Gastroenterologist. Patients were followed up in surgical outdoor for one year and no recurrence found. Conclusion: Lateral internal Sphincterotomy is successful and reliable surgical treatment for chronic anal fissure.