COMPARATIVE TREATMENT OUTCOME OF ANAL FISSURE MANAGEMENT BY CONSERVATIVE AND SURGICAL APPROACH

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Anal fissure is a common anorectal disorder causing significant morbidity due to pain and discomfort. The study compares the treatment outcomes of conservative and surgical management of anal fissures among Indian patients, focusing symptom relief, recurrence, and complications. 112 patients were diagnosed with anal fissure which were equally divided into two groups: Group A received conservative management and Group B underwent surgical management. While non-surgical methods were effective for treating Acute Anal Fissures, where as the success was limited in chronic cases. Surgical procedures, particularly LIS—provided more rapid relief and fewer complications, establishing their superiority for chronic or resistant fissures. : This study examines the clinical characteristics of Anal Fissure and Summary compares the outcomes of conservative versus surgical treatment approaches. Findings revealed that the surgical group had a superior cure rate of 83.9%, compared to 72.4% in the conservative group, along with a notably lower recurrence rate (3.6% versus 10.6%). While conservative therapy proved beneficial for recent-onset fissures, its efficacy declined in chronic cases. Surgical intervention, especially LIS, emerged as the most reliable treatment for persistent or severe fissures, offering quicker pain relief and fewer complications. The conservative treatment remains the initial approach for acute anal fissures. However, surgical options yield better outcomes in long-standing or treatment-resistant cases. The study highlights the need for personalized management plans tailored to the patient's clinical presentation and response to therapy

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