Summary
Lateral internal sphincterotomy proved to be effective in 99 per cent of the 418 procedures in which it was performed. The complication rate of 5 per cent was an improvement over most of the rates reported in the medical literature and over our previous experience with posterior sphincterotomy and anoplasty. Anal wounds and fissures healed faster than with previous procedures. It is encouraging that this simple and rapid procedure has such great efficacy with a minimum of complications.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Eisenhammer S: The surgical correction of chronic internal anal (sphincteric) contracture. S Afr Med J 25: 486, 1951
Eisenhammer S: The evaluation of the internal anal sphincterotomy operation with special reference to anal fissure. Surg Gynecol Obstet 109: 583, 1959
Notaras MJ: Lateral subcutaneous sphincterotomy for anal fissure—a new technique. Proc R Soc Med 62: 713, 1969
Notaras MJ: The treatment of anal fissure by lateral subcutaneous internal sphincterotomy— a technique and results. Br J Surg 58: 96, 1971
Parks AG: The management of fissure-in-ano. Hosp Med 1: 737, 1967
Ray JE, Penfold JC, Gathright JB Jr, et al: Lateral subcutaneous internal anal sphincterotomy for anal fissure. Dis Colon Rectum 17: 139, 1974
Rudd WW: Lateral subcutaneous internal sphincterotomy for chronic anal fissure, an outpatient procedure. Dis Colon Rectum 18: 319, 1975
Author information
Authors and Affiliations
Additional information
Read at the meeting of the American Society of Colon and Rectal Surgeons, San Diego, California, June 11 to 15, 1978. This paper received the Ohio Proctological Society Award.
About this article
Cite this article
Bailey, R.V., Rubin, R.J. & Salvati, E.P. Lateral internal sphincterotomy. Dis Colon Rectum 21, 584–586 (1978). https://doi.org/10.1007/BF02586402
Issue Date:
DOI: https://doi.org/10.1007/BF02586402