Skip to main content
SpringerLink
Log in

Performing internal sphincterotomy with other anorectal procedures

  • Original Contributions
  • Published:
Diseases of the Colon & Rectum

Abstract

PURPOSE: A study was conducted to compare the outcome of combined anorectal procedures involving lateral internal sphincterotomy with lateral internal sphincterotomy alone to determine if the former results in increased complications. METHODS: Complications and anal function of 57 patients who underwent lateral internal sphincterotomy for chronic anal fissure in conjunction with another anorectal procedure (combined group) between April 1989 and June 1992 were compared with 57 other age- and sex-matched patients who underwent lateral internal sphincterotomy alone (control group). RESULTS: There was no statistical difference in the incidence of incontinence in the combined group (8.7 percent) and the control group (7 percent). None of the cases in either group had permanent incontinence. There were also no statistical differences in the incidence of postoperative bleeding, pruritus ani, mucus discharge, abscess formation, fistulation, and rates of fissure recurrence. CONCLUSIONS: Additional anorectal procedures performed at the same time as internal sphincterotomy do not increase the incidence of postoperative complications.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Khubchandani IT, Reed JF. Sequelae of internal sphincterotomy for chronic fissure in ano. Br J Surg 1989;76:431–4.

    PubMed  CAS  Google Scholar 

  2. Walker WA, Rothenberger DA, Goldberg SM. Morbidity of internal sphincterotomy for anal fissure and stenosis. Dis Colon Rectum 1985;28:832–5.

    PubMed  CAS  Google Scholar 

  3. Lewis TH, Corman ML, Praeger ED, Robertson WG. Long-term results of open and closed sphincterotomy for anal fissure. Dis Colon Rectum 1988;31:368–71.

    PubMed  CAS  Google Scholar 

  4. Weaver RM, Ambrose NS, Alexander Williams J, Keighley MR. Manual dilatation of the anusvs. lateral subcutaneous sphincterotomy in the treatment of chronic fissure in ano. Dis Colon Rectum 1987;30:420–3.

    PubMed  CAS  Google Scholar 

  5. Ravikumar TS, Sridhar S, Rao RN. Subcutaneous internal sphincterotomy for chronic fissure in ano. Dis Colon Rectum 1982;25:778–801.

    PubMed  Google Scholar 

  6. Oh C. The role of internal sphincterotomy. Mt Sinai J Med 1982;49:484–6.

    PubMed  CAS  Google Scholar 

  7. Marya SK, Mittal S, Singla S. Lateral subcutaneous internal sphincterotomy for acute fissure in ano. Br J Surg 1980;67:299.

    PubMed  CAS  Google Scholar 

  8. Abcarian H. Surgical correction of chronic anal fissure: results of internal sphincterotomyvs. fissurectomy-midline sphincterotomy. Dis Colon Rectum 1980;23:31–6.

    PubMed  CAS  Google Scholar 

  9. Bailey RV, Rubin RJ, Salvati EP. Lateral internal sphincterotomy. Dis Colon Rectum 1978;21:584–6.

    PubMed  CAS  Google Scholar 

  10. Rudd WW. Lateral subcutaneous internal sphincterotomy for chronic anal fissure, an outpatient procedure. Dis Colon Rectum 1975;18:319–23.

    PubMed  CAS  Google Scholar 

  11. Ray JE, Penfold JC, Gathright JB, Roberson SH. Lateral internal sphincterotomy for anal fissure. Dis Colon Rectum 1974;17:139–44.

    PubMed  CAS  Google Scholar 

  12. Gordon PH, Vasilevsky CA. Lateral internal sphincterotomy: rationale, technique and anesthesia. Can J Surg 1985;28:28–30.

    Google Scholar 

  13. Jensen SL, Lund F, Nielson OV, Tange G. Lateral subcutaneous sphincterotomyvs. anal dilatation in the treatment of fissure-in-ano in outpatients: a prospective randomized study. BMJ 1984;289:528–30.

    Article  PubMed  CAS  Google Scholar 

  14. Hsu TC, Mackeigan JM. Surgical treatment of chronic anal fissure. Dis Colon Rectum 1984;27:475–8.

    PubMed  CAS  Google Scholar 

  15. Notaras MJ. The treatment of anal fissure by lateral subcutaneous internal sphincterotomy-technique and results. Br J Surg 1971;58:96–100.

    PubMed  CAS  Google Scholar 

  16. Motson RW, Keck JO. Pathogenesis and treatment of anal fissure. In: Henry MM, Swash M, eds. Coloproctology and the pelvic floor. 2nd ed. Oxford: Butterworth Heinemann, 1992.

    Google Scholar 

  17. Klosterhalfen B, Vogel P, Rixen H, Mittermayer C. Topography of the inferior rectal artery: a possible cause of chronic primary anal fissure. Dis Colon Rectum 1989;32:43–52.

    PubMed  CAS  Google Scholar 

  18. Boulos PB, Araujo JG. Adequate internal sphincterotomy for chronic anal fissure: subcutaneous or open technique? Br J Surg 1984;71:360–2.

    PubMed  CAS  Google Scholar 

  19. Gibbons CP, Read NW. Anal hypertonia in fissures: cause or effect? Br J Surg 1980;73:443–5.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Colorectal Surgery, Singapore General Hospital, Singapore, Singapore

    A. F. P. K. Leong F.R.C.S. (Edinb), M. J. Husain F.C.P.S., F. Seow-Choen F.R.C.S. (Edinb) & H. S. Goh F.R.C.S. (Eng)

Authors
  1. A. F. P. K. Leong F.R.C.S. (Edinb)
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. J. Husain F.C.P.S.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. F. Seow-Choen F.R.C.S. (Edinb)
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. H. S. Goh F.R.C.S. (Eng)
    View author publications

    You can also search for this author in PubMed Google Scholar

Additional information

Dr. Husain is a World Health Organization Fellow Cantonment Military Hospital Dhaka Cantonment, Bangladesh.

About this article

Cite this article

Leong, A.F.P.K., Husain, M.J., Seow-Choen, F. et al. Performing internal sphincterotomy with other anorectal procedures. Dis Colon Rectum 37, 1130–1132 (1994). https://doi.org/10.1007/BF02049816

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02049816

Key words

Search

Navigation