A lateral internal sphincterotomy is a surgical incision into one of your anal sphincter muscles. It's a treatment for anal fissures that have failed to heal. Cutting the muscle helps release excess tension that may be preventing the wound from healing.
Lateral sphincterotomy
This means you'll be asleep while the procedure is carried out, but you will not usually have to spend the night in hospital. A lateral sphincterotomy is one of the most effective treatments for anal fissures, with a good track record of success. Most people will fully heal within 2 to 4 weeks.
Conclusion. A fissurectomy for the treatment of patients with an idiopathic noninfected fissure is associated with rapid pain relief and a high success rate even though complete healing may often be delayed. Moreover, it appears to have no adverse effect on continence.
Lateral internal sphincterotomy is an operation to treat an anal fissure, a tear in the opening of the anus that can cause pain, itching, and bleeding. Anal fissures are caused by spasm of the anal muscles and can cause anal pain that can be quite severe, usually during and after a bowel movement.
Common side effects post fissure surgery
Pain and Discomfort: Pain at the surgical site is one of the most common side effects. You might experience discomfort, soreness, or aching around the anus. This pain is often most pronounced during bowel movements. Bleeding: Some bleeding is normal after surgery.
It's possible for a fissure to come back even after surgery, though this is rare. It might happen if it didn't heal properly, or if there's another underlying condition involved.
You can make your bowel movements less painful by getting enough fibre and fluids and using stool softeners or laxatives. Sitting in warm water (sitz bath) after bowel movements will also help. Most people can go back to work and their normal routine 1 to 2 weeks after surgery.
Many anal fissures heal by themselves in a few weeks, but complications can develop when they don't. These are called chronic anal fissures. Instead of healing, they continue to reinforce themselves in a vicious cycle, leaving a persistent wound.
Living with anal fissures
If you have an anal fissure, take these precautions to avoid making it worse and avoid recurrences: Take all medicines as prescribed. Get the recommended amount of fiber in your diet. Avoid constipation or large or hard bowel movements.
Major complications (requiring reoperation) caused by fistula, bleeding, abscess, or unhealed wounds occurred in ten patients (3 percent). Minor complications caused by pruritus, persistent wound, pain, bleeding, abscess, discharge, urgency, impaction, or defects of continence occurred in 110 patients (36 percent).
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