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[Our experience in internal medioposterior sphincterotomy with anoplasty]
F Di Bella1, G F Blanco, M Giordano
1Servizio Autonomo di Proctologia Chirurgica, Azienda Ospedaliera, Ospedale S. Martino di Genova.
Minerva Chirurgica
|October 21, 1999
Summary
The Arnous posterior medial internal sphincterotomy is an effective surgical treatment for chronic anal fissures and associated conditions like hemorrhoids. This procedure, performed on 270 patients, demonstrated excellent results with rapid recovery and no complications.
Area of Science:
- Colorectal Surgery
- Proctology
- Surgical Techniques
Context:
- Chronic anal fissures often involve internal sphincter hypertonia.
- Hemorrhoids can coexist with anal fissures, complicating treatment.
- Postoperative anal stenosis is a potential complication requiring specific surgical considerations.
Purpose:
- To describe the Arnous posterior medial internal sphincterotomy technique.
- To report personal experience and outcomes of this surgical approach.
- To evaluate the efficacy of the procedure in various anorectal conditions.
Summary:
- Posterior medial internal sphincterotomy with anoplasty was performed in 270 patients between 1981 and 1995 for chronic anal fissure, hemorrhoids, and related conditions.
- The procedure yielded excellent results, with an average hospital stay of 7 days and complete recovery in 4-6 weeks.
- No early or late complications were reported, highlighting the safety and effectiveness of the technique.
Impact:
- Emphasizes the role of anorectal manometry in preoperative assessment to optimize sphincterotomy.
- Suggests that precise modulation of sphincterotomy prevents residual hypertonia or incontinence.
- Highlights internal lateral-left sphincterotomy as an alternative for acute anal fissures, underscoring surgeon experience in technique selection.