Applicability and results of surgical treatment of chronic anal fissures in the polyclinic

Aim: As a result of the experience gained, it has been revealed that 90% of proctological procedures can be done with local anesthesia on an outpatient basis, patients do not need to stay in the hospital for days and recovery can be followed up on an outpatient basis.Material and Method: Research cases were operated by a single physician. In the study, 209 outpatients were operated in the outpatient clinic and 6 patients were operated in the general operating room.Results: In the research, 209 outpatients operated in the outpatient clinic and 6 patients operated in the general operating room were included. Of the patients operated on in the outpatient clinic, 124 were women and 85 were men. The recovery rate was 90.4% and the recurrence rate was 9.6% in those operated in the outpatient clinic.While the median monetary value of the cases operated on in the outpatient clinic was 429.41 TL (40.89 USD), it was 1373 TL (130.76 USD) in the general operating room group (p 0.002).Discussion: Performing uncomplicated proctological cases in the local operating room in order to use the general operating room more effectively supports our study in terms of both institutional profitability and surgical treatment results.