Lateral Internal Sphincterotomy: Procedure, Benefits, and Risks

Lateral Internal Sphincterotomy is a surgical procedure commonly used to treat chronic anal fissures that do not respond to conservative treatment methods.

This procedure involves cutting a small portion of the internal anal sphincter muscle to relieve pressure and allow the fissure to heal. It is a highly effective treatment for anal fissures and can provide long-lasting relief from pain and discomfort.

If you are suffering from chronic anal fissures and have not found relief from other treatments, Lateral Internal Sphincterotomy may be the best option for you.

It is a safe and minimally invasive procedure that can be performed on an outpatient basis, allowing you to return to your normal activities quickly.

Indications of Lateral Internal Sphincterotomy

Lateral Internal Sphincterotomy is typically recommended for patients who have been diagnosed with chronic anal fissures that have not responded to conservative treatments such as dietary changes, fiber supplements, and topical medications.

  • Persistent pain during bowel movements
  • Bleeding during or after bowel movements
  • Recurrent anal fissures that do not heal
  • Difficulty in passing stools due to anal fissures

If you are experiencing any of these symptoms, it is important to consult with a healthcare provider to determine the best course of treatment for your condition.

They can assess your symptoms and medical history to determine if Lateral Internal Sphincterotomy is the right treatment option for you.

Steps involved in Lateral Internal Sphincterotomy Surgery

Lateral Internal Sphincterotomy surgery is a relatively straightforward procedure that is typically performed under local anesthesia.

  • The surgeon will make a small incision in the anal canal to access the internal anal sphincter muscle.
  • A portion of the internal anal sphincter muscle is then carefully cut to release the pressure on the anal fissure.
  • The incision is closed with absorbable sutures, and a dressing may be applied to the area.
  • The entire procedure usually takes about 30 minutes to complete, and you can typically go home the same day.

Lateral Internal Sphincterotomy is a safe and effective procedure with a high success rate in treating anal fissures. Most patients experience significant relief from pain and discomfort after the surgery and can resume their normal activities within a few days.

Who will perform Lateral Internal Sphincterotomy Surgery?

Lateral Internal Sphincterotomy surgery is typically performed by a colorectal surgeon who has specialized training in treating conditions of the colon, rectum, and anus.

These surgeons have extensive experience in performing a variety of procedures, including Lateral Internal Sphincterotomy, and can provide you with the best possible care during and after the surgery.

Before undergoing Lateral Internal Sphincterotomy surgery, it is important to consult with a colorectal surgeon to discuss your symptoms, medical history, and treatment options.

They can evaluate your condition and recommend the most appropriate treatment for your anal fissures, including Lateral Internal Sphincterotomy if necessary.

Preparing for Lateral Internal Sphincterotomy Surgery

Before undergoing Lateral Internal Sphincterotomy surgery, your healthcare provider will provide you with specific instructions to help you prepare for the procedure.

  • Discontinuing certain medications that may increase the risk of bleeding during surgery
  • Following a clear liquid diet the day before the procedure
  • Arranging for someone to drive you home after the surgery
  • Bringing comfortable clothing and personal items to the hospital on the day of the surgery

It is important to follow your healthcare provider's instructions carefully to ensure a successful surgery and smooth recovery.

If you have any questions or concerns about preparing for Lateral Internal Sphincterotomy surgery, be sure to discuss them with your healthcare provider before the procedure.

Recovery after Lateral Internal Sphincterotomy surgery

Recovery after Lateral Internal Sphincterotomy surgery is typically quick and relatively painless for most patients. You may experience some discomfort and minor bleeding in the days following the surgery, but this should gradually improve as the incision heals.

  • Taking pain medications as prescribed by your healthcare provider
  • Eating a high-fiber diet and drinking plenty of fluids to prevent constipation
  • Avoiding heavy lifting or strenuous activities for a few weeks after the surgery
  • Keeping the incision site clean and dry to prevent infection

Your healthcare provider will provide you with specific instructions for caring for the incision site and managing any discomfort during your recovery.

Be sure to follow these instructions closely to ensure a smooth and successful recovery after Lateral Internal Sphincterotomy surgery.

If you have any concerns or questions during your recovery, do not hesitate to contact your healthcare provider for guidance and support.

Before and After Lateral Internal Sphincterotomy surgery

Before undergoing Lateral Internal Sphincterotomy surgery, it is important to have a thorough discussion with your healthcare provider about the procedure, potential risks and benefits, and expected outcomes.

They can answer any questions you may have and help you feel prepared and informed before the surgery.

After Lateral Internal Sphincterotomy surgery, you can expect to experience relief from the pain and discomfort caused by chronic anal fissures.

Most patients find that their symptoms improve significantly in the days and weeks following the surgery, allowing them to resume their normal activities without the limitations imposed by anal fissures.

It is important to attend all follow-up appointments with your healthcare provider after Lateral Internal Sphincterotomy surgery to ensure that your incision is healing properly and that you are recovering as expected.

They can monitor your progress, address any concerns you may have, and provide guidance on how to maintain optimal anal health in the future.

If you experience persistent pain, bleeding, or other symptoms after Lateral Internal Sphincterotomy surgery, be sure to contact your healthcare provider for further evaluation and treatment.

It is important to address any concerns promptly to ensure the best possible outcomes and long-term relief from anal fissures.

 

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Frequently Asked Questions

How soon can I return to work after lateral internal sphincterotomy?

You may be able to return to work within a few days to a week after a lateral internal sphincterotomy, depending on how you feel and the type of work you do.

What are the risks associated with this procedure?

The risks associated with this procedure include infection, bleeding, allergic reactions to medications, and damage to surrounding tissues. Your healthcare provider will discuss these risks with you before the procedure.

How long is the recovery period after lateral internal sphincterotomy?

The recovery period after a lateral internal sphincterotomy is usually about 2 to 4 weeks. You may experience some discomfort, but it should gradually improve during this time.

Will I experience pain or discomfort during recovery?

You may experience some pain or discomfort during the recovery period, which can be managed with medications prescribed by your doctor.

What are the chances of the problem recurring after the surgery?

The chances of the problem recurring after surgery depend on the specific condition and the success of the procedure, but your healthcare provider can discuss this with you based on your individual case.

Can I expect improved bowel function after the procedure?

You may experience improved bowel function after the procedure.

Are there any dietary restrictions after the surgery?

After surgery, it's best to follow your healthcare provider's guidance on when and what to eat. They may suggest starting with liquids and gradually progressing to solid foods to aid in recovery.

When can I start exercising after lateral internal sphincterotomy?

You can usually start light exercises like walking soon after the procedure, but it's best to avoid strenuous activities for a few weeks to allow proper healing. Remember to consult your healthcare provider before starting any exercise routine.

How soon can I return to normal bowel movements after the procedure?

You should be able to return to normal bowel movements shortly after the procedure. If you experience any changes or concerns, please consult your healthcare provider.

What complications should I watch for during recovery?

During your recovery, watch for any signs of infection such as increased pain, redness, swelling, or discharge from the surgical site. Notify your healthcare provider if you experience these symptoms.