الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Anal fissure is a common anorectal condition. It is common throughout adult life. It occurs in both male and female.
Management of Anal fissure is classified to Non-surgical and Surgical management, the surgical one started in the past with different surgical techniques. Recently, lateral internal sphincterotomy became the gold standard surgical technique for management of anal fissure.
In the era of using LASER in medical fields, many trials were done for taking benefits from using LASER in anal diseases aiming to better post-operative results and less harmful intervention whatever the cost.
The aim of the current study is to compare the impact of the Anal fissure laser surgery Vs the Notaras closed lateral internal sphincterotomy on short term outcome including: post-operative pain, infection, incontinence, time of healing and quality of Life.
The study design was a prospective comparative study, included 30 patients, 15 of them underwent closed lateral internal sphincterotomy (NOTARAS technique) and the other 15 pateints underwent laser surgery repair for anal fissure in the Department of surgery, Colorectal unit, at the Main Alexandria University Hospital.
Comparison between the two groups was done as regards post-operative pain, infection, incontinence, time of healing and quality of Life.
Our data demonstrated that regardless the high cost of laser, in NOTARAS group the post- operative pain was less than in laser group. Also, time of healing was less in NOTARAS group. With no significant difference in post- operative infection, continence or quality of life.