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Lateral internal sphincterotomy

R V Bailey, R J Rubin, E P Salvati

    Diseases of the Colon and Rectum
    |November 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Lateral internal sphincterotomy is a highly effective surgical treatment for anal fissures, achieving a 99% success rate. This simple procedure offers faster healing and fewer complications compared to other methods.

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    Area of Science:

    • Colorectal surgery
    • Gastroenterology

    Background:

    • Anal fissures and chronic anal fissures are common and painful conditions.
    • Previous surgical treatments like posterior sphincterotomy and anoplasty have variable success rates and complication profiles.

    Purpose of the Study:

    • To evaluate the efficacy and complication rate of lateral internal sphincterotomy for anal fissures.
    • To compare the outcomes of lateral internal sphincterotomy with previous surgical techniques.

    Main Methods:

    • A retrospective analysis of 418 patients who underwent lateral internal sphincterotomy.
    • Assessment of procedure success, complication rates, and wound healing times.

    Main Results:

    • Lateral internal sphincterotomy demonstrated a 99% success rate in 418 procedures.

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  • The complication rate was 5%, which is lower than previously reported rates.
  • Anal wounds and fissures healed significantly faster compared to other procedures.

    • Conclusions:

    • Lateral internal sphincterotomy is a highly effective and safe surgical option for anal fissures.
    • The procedure offers a favorable outcome with minimal complications and rapid healing.