A study of suppurative pathologies associated with chronic anal fissures.
BACKGROUND
Suppurative pathologies associated with chronic anal fissures are common but not well documented. Fissure abscess, post-fissure fistula, and post-fissure antibioma are but a few of them. These pathologies increase the complications and morbidity of the primary lesion and need a comprehensive approach.


METHODS
From the hospital case record of 532 patients treated for chronic anal fissures, 88 patients (16.5%) were found to have one of these pathologies. This retrospective study describes such pathologies in terms of demographics, clinical presentation, pathological features, operative technique and outcome.


RESULTS
Of the 88 patients who presented with pain and discharge per anus, 90% could resume their duties within a week of the surgical procedure. Wound healing took between 2 weeks and 2 months. At the last follow- up at 18 months, three patients had a recurrence (3.4%).


CONCLUSIONS
Suppuration in chronic anal fissure seems to be more frequent than described. While dealing with the anal fissure, it is desirable to look for and attend to these associated pathologies, especially to avoid complications and morbidity of the primary disease.
Gupta
P J
PJ
Gupta Nursing Home, D/9, Laxminagar, Nagpur 440022, India. drpjg_ngp@sancharnet.in
D000038:Abscess / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D000328:Adult; D002908:Chronic Disease; D004598:Electrosurgery; D005260:Female; D005401:Fissure in Ano / Q000150:complications* / Q000473:pathology / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012003:Rectal Fistula / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D012189:Retrospective Studies; D013492:Suppuration / Q000209:etiology / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome