Lateral Internal Sphincterotomy

Surgical incision of the INTERNAL ANAL SPHINCTER typically in the treatment of FISSURE IN ANO; chronic ANAL FISSURE and FECAL INCONTINENCE.

Also Known As:

Internal Anal Sphincterotomy; Internal Sphincterotomy; Lateral Internal Anal Sphincterotomy; Lateral Sphincterotomy; Anal Sphincterotomy, Internal; Internal Anal Sphincterotomies; Internal Sphincterotomies; Lateral Internal Sphincterotomies; Lateral Sphincterotomies; Sphincterotomy, Internal; Sphincterotomy, Lateral; Sphincterotomy, Lateral Internal

Networked: 333 relevant articles (52 outcomes, 77 trials/studies)

Relationship Network

Therapy Context: Research Results

Operative Surgical Procedures: 34913
- Myotomy: 2580
  - Sphincterotomy: 1607
    - Lateral Internal Sphincterotomy: 333
- Digestive System Surgical Procedures: 30
  - Lateral Internal Sphincterotomy: 333

Experts

1.	Di Vita, Gaetano: 5 articles (11/2021 - 06/2012)
2.	Farid, Mohamed: 5 articles (10/2018 - 10/2012)
3.	Menteş, B Bülent: 5 articles (06/2008 - 02/2003)
4.	D'Orazio, Beatrice: 4 articles (11/2021 - 01/2021)
5.	Geraci, Girolamo: 4 articles (11/2021 - 01/2021)
6.	Youssef, Mohamed: 4 articles (01/2017 - 10/2012)
7.	Leventoglu, Sezai: 3 articles (03/2022 - 02/2005)
8.	Emile, Sameh Hany: 3 articles (10/2018 - 07/2016)
9.	Thabet, Waleed: 3 articles (01/2017 - 10/2015)
10.	Nelson, Richard L: 3 articles (11/2011 - 01/2004)

Related Diseases

1.	Fissure in Ano (Anal Fissure) 10/01/2012 - "Lateral internal sphincterotomy has been proven highly effective in curing anal fissure but with a high incidence of postoperative incontinence. " 06/01/2012 - "Lateral internal sphincterotomy is the most effective treatment for chronic anal fissure (CAF), but carries a risk of faecal incontinence. " 11/01/2006 - "Is lateral internal sphincterotomy the best treatment option for patients with anal fissure?" 03/01/2000 - "Open lateral sphincterotomy is still the best treatment for chronic anal fissure." 04/01/1996 - "Lateral internal sphincterotomy is highly effective in treatment of chronic anal fissure but is associated with significant permanent alterations in continence. "
2.	Pain (Aches) 11/01/2020 - "This study reports that lateral internal sphincterotomy improved pain symptoms without adverse effects on continence. " 01/01/2023 - "The addition of Lateral Internal Sphincterotomy to haemorrhoidectomy reduced pain on day 2 in three studies with 275 participants, MD of -2.13 (-3.49; -0.77) I2 = 92%. " 04/01/2005 - "The aim of the present study was to evaluate the effect of lateral internal sphincterotomy on pain after open hemorrhoidectomy. " 11/01/2002 - "Internal sphincterotomy with hemorrhoidectomy does not relieve pain: a prospective, randomized study." 03/12/2022 - "Lateral internal anal sphincterotomy may be performed as a surgical adjunct to reduce post-hemorrhoidectomy pain, although it increased risks of anal incontinence. "
3.	Hemorrhage 01/01/2021 - "Six cases of bleeding occurred after hemorrhoidectomy (0.6%) and 1 (0.1%) after lateral internal sphincterotomy. " 01/01/2010 - "Except for 1.75% patients having bleeding/hematoma formation, and with a dropout of 2.60% patients, no failure, recurrence or long term complications like incontinence, were observed in patients who underwent subcutaneous internal lateral sphincterotomy after a mean follow up of 28 months. " 09/01/2006 - "This procedure was the initial study to decrease intra-operative and immediate postoperative wound bleeding, hematoma, and duration of pressure by using Endoshere cut scissors for closed lateral internal sphincterotomy. " 03/01/2008 - "Internal sphincterotomy remains the standard for treatment of anal fissure, but it is associated with risks of infection, bleeding, and incontinence. " 09/01/2006 - "Internal sphincterotomy remains the gold standard for treatment of chronic anal fissure but it is associated with immediate wound bleeding and hematoma, which is usually corrected by a pressure dressing for half an hour. "
4.	Pathologic Constriction (Stenosis) 07/01/1986 - "The middle, upper and entire anal canal stenoses were treated effectively by single or multiple internal anal sphincterotomies (34 of 42 patients [83 per cent] with good results), although advancement flap anoplasty procedures (simple advancement flap and V-Y anoplasty) worked well when indicated (nine of ten patients with good results). " 11/01/2002 - "The aim of the study was to evaluate the efficacy of anoplasty by mucosal advancement combined with internal sphincterotomy for the treatment of iatrogenic anal stenosis. " 03/01/2022 - "Therefore, the application of lateral internal sphincterotomy does not provide satisfactory results in the treatment of anal stenosis. " 11/01/2002 - "From January 1990 to December 2000, 149 patients with post-haemorrhoidectomy anal strictures underwent internal sphincterotomy and mucosal advancement flap anoplasty. " 01/01/2000 - "Surgery, using an advancement flap and partial internal sphincterotomy, remains the primary treatment for anal stenosis. "
5.	Flatulence 06/01/2006 - "Total subcutaneous internal sphincterotomy is a safe and effective treatment for chronic anal fissures, that only rarely impairs continence to flatus." 12/01/2015 - "Though lateral internal sphincterotomy (LIS) remains the gold standard of treatment for the disease, it is accompanied by the potential complication of incontinence to both flatus and faecal matter. " 11/01/2010 - "Symptoms of mild anal incontinence (ie, soiling, flatus) were present 3 months after operation in 6 of 30 (20.0%) patients with lateral internal sphincterotomy and in no patient with dermal flap coverage (P < .05); 70 to 94 months postoperatively, mild anal incontinence was present in 10 of 21 (47.6%) patients with lateral internal sphincterotomy and in 1 of 17 (5.8%) patients with dermal flap coverage (P < .05). " 07/01/2009 - "Incontinence to flatus was noted in the fissurectomy (F) group in two (6.2%) patients, but no incontinence was noted in the lateral internal sphincterotomy (LIS) group. " 05/01/1996 - "Incontinence of feces or flatus is a serious complication of lateral internal sphincterotomy with a incidence of 0-35%. "

Related Drugs and Biologics

1.	Nitroglycerin (Dynamite)
2.	Botulinum Toxins (Botulinum Toxin)
3.	Ointments (Pastes)
4.	Diltiazem (Cardizem)
5.	Type A Botulinum Toxins (Botox)
6.	Nifedipine (Adalat)
7.	Nitrates
8.	Isosorbide Dinitrate (Isordil)
9.	N 30
10.	Polytetrafluoroethylene (Teflon)

Related Therapies and Procedures

1.	Lateral Internal Sphincterotomy
2.	Sphincterotomy
3.	Hemorrhoidectomy
4.	Bathroom Equipment
5.	Operative Surgical Procedures