Abstract

GUDAVIVARDHAN, ANAL DILATATION BY DILATORS: A NONSURGICAL THERAPY FOR FISSURE IN ANO

Pratiksha Suresh Mane* and D. D. Chavan

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Abstract

The process of dilating the luminal diameter of anal canal by using anal dilator is referred as Gudavivardhan, through this process, the aim is to relax the anal sphincter to relieve the hyperactivity and rigidity of anal sphincter. Anal fissure is a common anorectal condition. It’s symptoms consist of pain and bleeding during defaecation. Common site of fissure is midline posteriorly, but 25% of women and 8% of men have anterior fissure. The Aim of this study is to relax the anal sphincter to relieve the hyperactivity and rigidity of anal sphincter and to determine the outcome of anal dilatation in the management of chronic fissure in ano. In this study total 10 patients of chronic fissure in ano are included from surgery department between the age of 18 to 64 years. Out of 10 patients, in 08 patients anal sphincter relaxed and because of sphincter relaxation, circulation improved and fissure wound healed completely. Anal dilatation by standard sized dilators is a simple, less traumatic and cheap procedure for treatment of anal fissure. Anal dilatation is effective in the treatment of chronic fissure in ano. Anal dilatation performed in systematic and standardized way has successful outcome without complication. Anal dilatation by dilators relaxes the anal sphincter and reduces the hyperactivity i.e spasm and rigidity of anal sphincter.

Keywords: Fissure in ano, Gudavivardhan, Anal dilatation, Anal dilators.