A Prospective Study To Evaluate Medical Management Vs Surgical Intervention In Pain Relief And Healing Of Anal Fissure

Introduction: Anal fissure is a commonly encountered problem for surgeons. It is a longitudinal tear in distal anal canal with or without an ulcer. It causes significant changes in quality of life. This study was done to compare the efficacy of medical management and surgical intervention in cases of anal fissures. Methods: 50 patients were divided into two groups of 25 each. Group A patients were treated with topical application of 2% diltiazem gel and Group B patients were treated with Lateral sphincterotomy. Both groups were examined weekly for 4 weeks for pain using VAS score and at 12 weeks for healing. Results: 21(84%) patients were pain free after 4 weeks under Group A, 24 (96%) patients were pain free after 4 weeks under Group B. 22(88%) patients were completely healed at 12 weeks under Group A, 25(100%) patients were completely healed at 12 weeks under Group B. Conclusion: Lateral sphincterotomy can be advocated as treatment of choice for anal fissures. It has better pain relief and healing rates compared to topical application of 2% diltiazem gel. Medical Management can be used in patients refusing surgery or unfit for surger

Primary Ovarian Serous Adenocarcinoma with Ipsilateral Axillary Lymph Node Metastasis: A Case Report

Zoco en la plaza de Olavide, Madri

Vapour breakthrough behaviour of carbon tetrachloride - a simulant for chemical warfare agent on ASZMT carbon

748-756ASZMT (Cu, Ag, Zn, Mo, TEDA impregnated) carbon was prepared by impregnation of active carbon with ammonical salts of Cu (II), Ag (I), Zn (II), Mo (VI) and TEDA using incipient wetness technique. Thereafter, ASZMT carbon was characterized using scanning electron microscopy, atomic absorption spectroscopy, thermogravimetry and surface characterization techniques. The ASZMT carbon was evaluated under dynamic conditions against carbon tetrachloride vapour that was used as a simulant for the persistent chemical warfare agents for testing breakthrough times of filter cartridges and canisters of gas masks in the National Approval Test of Respirators. The effect of carbon tetrachloride concentration, test flow rate, temperature and relative humidity on the breakthrough behaviour of the ASZMT carbon for CCl4 vapour has also been studied. The study clearly indicated that the ASZMT carbon provided adequate protection against carbon tetrachloride vapours. The breakthrough time decreased with the increase of the carbon tetrachloride concentration and flow rate. The variation in temperature and relative humidity did not significantly affect the breakthrough behaviour of ASZMT carbon at high vapour concentration of carbon tetrachloride whereas breakthrough time of ASZMT carbon reduced by an increase of relative humidity at low carbon tetrachloride vapour concentration