What is lateral internal sphincterotomy?

Lateral internal sphincterotomy is a type of surgery used to treat a condition known as a chronic anal crack. The anal crack occurs when the skin lining the anal passage of tears, causing severe pain and sometimes bleeding while passing stools. In some people, healing is prevented because the valve or sphincter in the anal opening goes to the spasm, which reduces blood supply to the damaged area. If non -surgical treatment has failed, lateral internal sphincterotomy may be recommended. During the procedure, the muscles of the sphincter are cut to alleviate spasming and allow for recovery

anal crack can cause a lot of pain, which often leads to constipation because patients are reluctant to pass through the stool. The bleeding is usually seen on toilet paper after the intestine movement and blood is bright red. It is assumed that many anal cracks are caused by the passage of a hard stool and often heal themselves. In people where healing does not stipulate to be present alita inner anal sphincter, which SNIt is the amount of blood flowing into the crack area. The pressure of the sphincter muscle is often too high and the side internal sphincterotomy can reduce the pressure to the normal level.

In most patients, the treatment of medical anal cracks is successful with measures such as stool softeners and a high fiber diet. This is when such treatment fails, patients may undergo lateral internal sphincterotomy. Surgery can be performed under a general anesthetic, so patients are unconscious or backbone anesthetic where they are soothing but upwards.

The surgeon uses a scalpel to cut in the muscle of a circular inner anal sphincter. It is important not to hurt the outer anal muscles of the sphincter that surround it. The operation takes approximately 15 minutes and patients can usually return home on the same day. Most People make complete recovery and find that their pain of anal cracks gets up rapidly.

Side internal complications of sphincterotomy are rare, but may include infection, pain and bleeding. Sometimes patients are left by a certain degree of incontinence that could include a stool walking together with a gas or a small amount of involuntary pollution. These problems are often present immediately after the operation, but later solved. In several patients, the anal crack does not heal after lateral internal sphincterotomy or the crack is repeated. Approximately half of the cases where the crack does not heal is associated with the inflammatory state of the intestine known as Crohn's disease.