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The Effect Of Caudal Epidural Injection On Healing In The Treatment Of Chronic Anal Fissure – Spinal Injection

The article discusses a randomized, controlled study on the use of caudal epidural injection as a treatment for chronic anal fissure. The study included 120 patients, divided into two groups. The first group received caudal epidural injections, while the second group received medical treatment such as creams or pills. The severity of constipation and pain, as well as the patients’ quality of life, were assessed throughout the study. The results showed that the group receiving caudal epidural injections experienced a significant decrease in pain and constipation severity compared to the control group. Additionally, their quality of life improved. The study concludes that caudal epidural injection has the potential to be an alternative treatment option for chronic anal fissure

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most established day surgery hospital in UK

Published article

Caudal epidural injection has a potential to be an alternative treatment option for chronic anal fissure.

Spine Epidural Lumbar Caudal transforaminal Expert. Best Spinal Surgeon UK
Abstract Background: Chronic anal fissure is called the reaching the muscle layer under the skin by deepening of the fissure in the breech skin. Our purpose is to enable the tissue to heal by relaxing the anal sphincter with caudal epidural injection. Methods: One hundred twenty cases were included in this randomized, controlled study. The,

Abstract

Background: Chronic anal fissure is called the reaching the muscle layer under the skin by deepening of the fissure in the breech skin. Our purpose is to enable the tissue to heal by relaxing the anal sphincter with caudal epidural injection.

Methods: One hundred twenty cases were included in this randomized, controlled study. The cases were categorized into 2 groups; Under ultrasound guidance, the first group, caudal epidural injection group (Group CE, n = 60) was treated with 5 cc bupivakain + 5 cc isotonic from a caudal epidural for a total of 3 sessions at the beginning, 1 week and 2 weeks later; the second group, control group (Group C, n = 60) were provided medical treatment (cream, pill etc.) every day for 2 weeks. Wexner’s constipation score was used to assess constipation severity and visual analog scale was used to assess pain severity. Short Form-36 was used to determine the patient’s quality of life.

Results: This study was conducted with 2 groups of 60 people and a total of 120 patients. There was no statistically significant difference between the groups in terms of demographic characteristics (age, body mass index, gender, American Society of Anesthesiologist, mean blood pressure, heart rate) (P > .05). Out of the detected fissures, 32 (26.7%) were located anteriorly and 88 (73.3%) were located posteriorly. The groups were statistically same in terms of fissure location (P = .423). When groups were compared with pain, Wexner constipation and visual analog scale scores decreased significantly in Group CE compared to Group C after 2.and 3.sessions (P = .001 and P = .002, respectively). In Group CE, the Short Form-36 subscales increased significantly (P = .003).

Caudal epidural injection has a potential to be an alternative treatment option for chronic anal fissure.

The London Spine Unit : most established day surgery hospital in UK

Read the original publication:

The effect of Caudal Epidural Injection on healing in the treatment of chronic anal fissure

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Abstract Background: Chronic anal fissure is called the reaching the muscle layer under the skin by deepening of the fissure in the breech skin. Our purpose is to enable the tissue to heal by relaxing the anal sphincter with caudal epidural injection. Methods: One hundred twenty cases were included in this randomized, controlled study. The

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