Evaluation of clinical effectiveness of topical 0.2% glyceryl trinitrate, topical 2% diltiazem and their combination in the treatment of chronic anal fissure
, Original Research Article

Evaluation of clinical effectiveness of topical 0.2% glyceryl trinitrate, topical 2% diltiazem and their combination in the treatment of chronic anal fissure

Original Research Article
Published 2019-09-30
Bikash Bahadur Rayamajhi
Assistant Professor, Department of Surgery, Nepalese Army Institute of Health Sciences (NAIHS), Sanobharyang, Kathmandu, Nepal
Anjan Khadka
Assistant Professor, Department of Pharmacology, Nepalese Army Institute of Health Sciences (NAIHS), Sanobharyang, Kathmandu, Nepal
Kabir Thakali
Assistant Professor, Department of Accident and Emergency, Nepalese Army Institute of Health Sciences (NAIHS), Sanobharyang, Kathmandu, Nepal
Bikash Bikram Thapa
Assistant Professor, Department of Surgery, Nepalese Army Institute of Health Sciences (NAIHS), Sanobharyang, Kathmandu, Nepal
Narayan Thapa
Associate Professor, Department of Surgery, Nepalese Army Institute of Health Sciences (NAIHS), Sanobharyang, Kathmandu, Nepal
Bharat Bahadur Bhandari
Associate Professor, Department of Surgery, Nepalese Army Institute of Health Sciences (NAIHS), Sanobharyang, Kathmandu, Nepal
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Keywords

Anal Fissure; Chemical Sphincterotomy; Constipation; Pain; Sitz bath

How to Cite

Rayamajhi, B. B., Khadka, A., Thakali, K., Thapa, B. B., Thapa, N., & Bhandari, B. B. (2019). Evaluation of clinical effectiveness of topical 0.2% glyceryl trinitrate, topical 2% diltiazem and their combination in the treatment of chronic anal fissure. Journal of Kathmandu Medical College, 8(3), 156–161. Retrieved from https://jkmc.com.np/ojs3/index.php/journal/article/view/22
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Abstract

Background: The longitudinal tear or defect in the epithelial lining of the anal canal distal to the dentate line is called anal fissure. It is of two types: acute and chronic. The break in the cycle of pain, spasm and ischemia is

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