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https://doi.org/10.18502/wkmj.v66i2.16464

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authors

  • Eyüp Murat Yilmaz

    Eyüp Murat Yilmaz

    Department of General Surgery, Nev Health Group Hospital, Bursa, Turkey
  • Erkan Karacan

    Erkan Karacan

    Department of General Surgery, Karabuk University Hospital, Karabuk, Turkey

Published Date

  • Jun 28, 2024

Is Botox an Alternative to Surgery for Anal Fissure?

West Kazakhstan Medical Journal / West Kazakhstan Medical Journal: Volume 66 Issue 2 / Pages 176–179

Abstract

Objective To compare the results of the lateral internal sphincterotomy(LIS) technique and high dose botulinum toxin, which is one of the treatments applied when medical treatment is insufficient in anal fissure. Materials and methods The files and outpatient clinic notes of the patients who underwent lateral internal sphincterotomy and botulinum toxin injection due to lack of response to medical treatment due to anal fissure between May 2020 and May 2023 were examined retrospectively. Preoperative and postoperative visual analog scale (VAS) scores, five-point horizontal scale (FPHS) scores, hospitalization times, fissure locations, follow-up periods, anesthesia type, and postoperative complications of the patients were recorded. Results Total 30 LIS and 24 botulinum toxin-treated patients were included. Hospitalization time was shorter in botulinum toxin groups than in the LIS group (p<0.001). First-week VAS score was lower than botulinum toxin injection group (p<0.001). There was no significant difference between the groups in terms of FPHS scores, follow-up periods, and recurrence (p:0.15, p:0.07, p:0.14). Conclusion: While LIS is faster in the early period, botulinum toxin injection can be considered as an alternative to surgical treatment for long-term results.

Keywords:

anal fissure, sphincterotomy, botox

References
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