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Closed lateral internal sphincterotomy using endoshere cut scissors.

Jirawat Pattana-Arun1, Warin Wesarachawit

  • 1Division of Colorectal Surgery, Department of Surgery, King Chulalongkorn Memorial Hospital, Chulalongkorn University, Bangkok 10330, Thailand.

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|August 28, 2007
PubMed
Summary

Endoshere cut scissors effectively reduce bleeding and hematoma during closed lateral internal sphincterotomy for chronic anal fissures. This technique eliminates the need for pressure dressings, improving patient outcomes.

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Area of Science:

  • Colorectal Surgery
  • Surgical Innovation
  • Gastroenterology

Background:

  • Internal sphincterotomy is the standard treatment for chronic anal fissures.
  • This procedure can lead to immediate wound bleeding and hematoma, often requiring pressure dressings.

Purpose of the Study:

  • To evaluate the efficacy of Endoshere cut scissors in closed lateral internal sphincterotomy.
  • To decrease intra-operative and postoperative bleeding, hematoma, and pressure dressing duration.

Main Methods:

  • Closed lateral internal sphincterotomy performed using Endoshere cut scissors.
  • Standard surgical technique with Fansler's proctoscope and local anesthesia.
  • No pressure dressing applied post-procedure.

Main Results:

  • No intra-operative or immediate postoperative wound bleeding occurred in 10 patients.
  • No hematoma formation was observed.
  • Pressure dressing was not required after the procedure.

Conclusions:

  • Endoshere cut scissors are a useful tool for closed lateral internal sphincterotomy.
  • The technique effectively prevents bleeding and hematoma, negating the need for pressure dressings.
  • Further randomized controlled trials are recommended to study long-term outcomes.