التفاصيل البيبلوغرافية
| العنوان: |
Clinical outcome of manual dilation of the anus (MDA), for anal fissure at Mulago Hospital |
| المؤلفون: |
Olupot, Robert |
| سنة النشر: |
2005 |
| المجموعة: |
Makerere University's Institutional Repository (Mak IR) |
| مصطلحات موضوعية: |
Chronic anal fissure, Manual Dilation of the Anus (MDA), Lateral Internal Sphincterotomy (LIS), Anal sphincter Anal tone |
| الوصف: |
A dissertation submitted to the School of Graduate Studies in partial fulfillment of the requirements for the degree of Master of Medicine in Surgery of Makerere University ; Background: The modern treatment of chronic anal fissure is aimed at reducing the resting anal pressure. This can be achieved either by a conservative approach as the first line of clinical management or surgery, if the conservative approach is unsuccessful. Manual Dilation of the Anus (MDA) has been the mainstay of treatment for this condition for the last 160 years. It has its proponents and critics. To date there has been a variation in practice with some authorities still practicing MDA and others preferring Lateral Internal Sphincterotomy (LIS) as the treatment of choice. Both surgical options mechanically relax the internal anal sphincter, reduce the resting anal tone, improve or restore perfusion in the anoderm resulting into healing. A scientific analysis of manual anal dilation however has not been made in this population. The aim of this prospective descriptive study was to determine the outcome of standardized gentle MDA in the management of chronic fissure in this setting, and to identify the complications and the overall patient satisfaction as regards the final result. Methods: Data was prospectively collected from patients aged between 18-61 years. Recruitment, clinical evaluation and HIV screening were done and a surgical intervention (MDA) offered. Recruitment was done concurrently with follow up lasting four weeks. Postoperative status was assessed at weekly intervals for complications or improvement. Symptomatic assessment and overall patient satisfaction was then assessed on a scale at the end of the follow up period. Results: A total of forty eight (48) patients were recruited and underwent surgery, three were lost to follow up and forty five (15) were followed up. The results of 45 patients are presented. The male to female ratio was 1:2:5 The mean duration of symptoms was 30 weeks and ranged between 6-60 weeks. Over ... |
| نوع الوثيقة: |
master thesis |
| اللغة: |
English |
| العلاقة: |
Olupot, R. (2005). Clinical outcome of manual dilation of the anus (MDA), for anal fissure at Mulago Hospital. Unpublished master's thesis, Makerere University, Kampala, Uganda; http://hdl.handle.net/10570/1098Test |
| الإتاحة: |
http://hdl.handle.net/10570/1098Test |
| رقم الانضمام: |
edsbas.39C1024C |
| قاعدة البيانات: |
BASE |
