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Related Experiment Videos

[Ambulatory subcutaneous internal sphincterectomy]

G Colucci1, M Varoli, R Bruni

  • 1Divisione di Chirurgia Generale, Ospedale Civile S. Agostino, Modena.

Il Giornale Di Chirurgia
|February 28, 1998
PubMed
Summary

Internal anal sphincterotomy is the best treatment for anal fissures. This outpatient procedure under local anesthesia offers excellent results, proving more practical and effective than isolating the internal sphincter.

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Area of Science:

  • Colorectal Surgery
  • Gastroenterology
  • Surgical Procedures

Context:

  • Anal fissures and associated internal anal sphincter hypertrophy/spasms require effective treatment.
  • Traditional surgical techniques may involve more complex procedures.
  • Outpatient surgical options offer potential benefits in terms of cost and patient convenience.

Purpose:

  • To evaluate the efficacy and practicality of internal subcutaneous sphincterotomy under local anesthesia.
  • To compare this outpatient procedure with alternative surgical methods for internal anal sphincter dysfunction.
  • To report outcomes from a series of 253 internal subcutaneous sphincterotomy operations.

Summary:

  • Internal subcutaneous sphincterotomy was performed on 253 patients between 1989 and 1995.

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  • All procedures were conducted under local anesthesia in an outpatient setting.
  • Excellent results were achieved, demonstrating the procedure's success.

    • Impact:

    • Internal subcutaneous sphincterotomy under local anesthesia is a practical and effective outpatient treatment for anal fissures.
    • This method yields improved results compared to isolating the internal sphincter.
    • The findings support the adoption of this minimally invasive approach for suitable patients.