Laser internal sphincterotomy

2023-08-24 14:57:42
Suffering from fissure since six months ,tried various ointment. Still persists. 1.What is effectiveness of laser sphincterotomy ? 2.What are Chances of recurrance? 3. What is effect of cutting internal anal muscle in long time..will stool grip loses due to it? Genuine opionion required of these 3 points here.
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Lateral internal sphincterotomy (LIS) is 99% effective, whether done by blade or LASER Recurrences happen if you continue passing hard stools Doing lat. Internal sphincterotomy is safe, and onl 1 to 3 % pt may have a temporary loss of grip lasting 1-3 months
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LIS SAFE
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first line of treatment is chemical sphincterotomy

Answered2023-08-29 03:04:45

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Lateral internal Sphincterotomy is a well established procedure. If done properly it is very effective and recurrence is very low. Cutting lowermost part of the internal Sphincter will not cause any loss of grip over stool

Answered2023-08-24 16:48:42

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1. >95%% efficacy 2. No recurrence if proper post op treatment taken 3. No side effect of cutting internal sphincter if only IS is cut.. rarely watery stools can leak a bit

Answered2023-08-24 15:19:08

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Around 85-100% of patients benefit from sphincterotomy surgery with 6-10% of patients having the risk of difficulty of holding flatus (gas) or stool (also called incontinence in medical terms). Recurrence rates are around 1-25% according to studies. But these are numbers, results & complications of surgery solely depend on skill & technique of operating surgeon & patient's conditions.

Answered2023-08-24 15:13:32

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You may choice open or laser, both have similar outcomes
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manage conservative sitz bath is most effective
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Avoid constipation

Answered2023-09-21 14:33:09

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People totally depending in the surgery without following other instructions advised by doctors, accordingly recurrence, not due to surgical fault ideally

Answered2023-08-25 05:43:58

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Greetings! 1. On comparing laser vs surgical sphincterotomy, - laser based procedures are on the rise with advantages of less painful and better recovery. - Efficacy following laser and surgical procedures are cure rates 95-99%. - Drawback : laser procedures are costlier 2. Recurrence are similar with slightly lesser frequency in laser surgeries (laser : 1-3%, surgery :

Answered2023-08-24 18:32:20

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