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Updated: Aug 11, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Assessment of sphincterotomy results in patients treated for anal fissure
D Simkovic1, K Smejkal, P Hladík
1Department of General Surgery, University Hospital, Hradec Králové, Czech Republic.
Objective:
This paper summarizes results of a study of 90 patients operated on for chronic anal fissure with lateral sphincterotomy (LS) between 1985 and 1997.
Methods:
Preoperative and postoperative complaints, anal examination and continence were evaluated. All patients were asked to rate the results of LS as very good, good, satisfactory or unsatisfactory.
Results:
Sixty-six patients (73.3%) judged the results of LS to be very good. Only 4 (4.4%) judged the results unsatisfactory and 1 patient (1.1%) considered the results satisfactory. Recurrent anal fissure was found in 4 cases (4.4%). Two patients developed a fistula in connection with the procedure.
Conclusions:
Lateral sphincterotomy is a safe and simple operation that yields good results. However, LS should be diagnosed and performed by a surgeon skilled in proctologic surgery.
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