%0 Journal Article
%T CHRONIC ANAL FISSURE
%A ABID HUSSAIN
%A KISHWAR NAHEED
%J The Professional Medical Journal
%D 2011
%I 
%X Objective: To determine the role of chemical syphincterotomy as non surgical management of chronic anal fissure. Study Design:Descriptive. Setting: This study was conducted at Margalla teaching Hospital and United Medical center .Rawalpndi. Period: 1 years. Patients & Methods: This study included 70 patients of either sex. A personal bio data and detailed history of dietary and bowel habits were registered. Topical 0.2% GTN (Gylciryltrinitrate) was applied to anal verge 2 times per day for the period of two months and its effects were noted. Result: 58 patients (83%) got symptomatic relief and 12 patients (17%) did not get improvement. Conclusions: Chemical syphincterotomy heals majority of the fissure . Topical 0.2% GNT ointment is widely used as a first line treatment in U.K . It is generally accepted as an effective treatment for chronic fissure
%K Chemical syphincterotomy
%K glyceryl trinitrate
%K chronic anal fissure
%U http://www.theprofesional.com/article/2011/Vol-18-no-4/005%20Prof-1813.pdf