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Why Choose Cedars-Sinai Marina del Rey Hospital for Sphincterotomy?

At Cedars-Sinai Marina del Rey Hospital we understand your concern regarding your health and if a sphinteroctomy is the medical procedure recommended by your doctor, we will provide you with the best team of specialists able to use the latest technology and techniques in order for you to have a fast and safe recovery.

This type of surgery performed at our health center has proven to be very effective in treating conditions similar to yours. Our dedicated medical personnel will make sure that you receive the attention needed to restore your quality of life.

The anal fissure is a tear in the mucosa lining of the lower rectum, which causes pain during the intestinal transit. It can affect persons of all ages and is usually associated with chronic diarrhea, constipation and even hemorrhoids. In order to treat this disease patients have to undergo a procedure called sphincterotomy, which means that the doctor surgically removes a sphincter partially or totally.

  • Oddian sphincterotomy is recommended when a calculus, which is blocked in the choledoch duct prevents the leaking of the hepatic secretion. It consists in incising the choledoch duct at the level of the sphincter in order to remove the calculus.
  • Anal sphincterotomy is indicated especially for anal fissures cases and implies the partial or total removal of the sphincter.

Lateral internal sphincterotomy is a procedure, which is performed on the internal anal sphincter muscle in order to treat chronic anal fissures. The internal anal sphincter is one of the muscles, which control the excretion of feces. The surgery leads to a decrease in the resting pressure of the anal sphincter and allows faster healing. Moreover, it has been proved to be very effective in 96% of the cases.

This surgery implies stretching and cutting the internal anal sphincter, preventing spasm and helping the area to heal faster.

The procedure can be performed while the patient is under local anesthesia, involving the injection only in the immediate area, or a spinal anesthesia.

General anesthesia may be used in some situations, leaving the patients unconscious.

However, this choice depends on the preference of the patient and physician and also on the patient's health.

  • Some common side effects of this procedure are difficulty in controlling flatulence and minor fecal incontinence
  • Persistent minor fecal incontinence appears in less than 4% of the cases
  • Bleeding is a complication, which occurs rarely and might require suture ligation
  • Perianal abscess is the least common and appears in 1% of the situations, requiring incision and drainage of the abscess

Endoscopic sphincterotomy is a relatively new endoscopic technique developed for the examination and treatment of the abnormalities of the bile ducts. The surgery implies cutting the muscle between the pancreatic duct and the common bile duct and is done using a wire and a catheter in order to remove the blockage. After the procedure the patient is monitored for a couple of hours to ensure that there are no complications, even though the complication rate is just 5-10%. It is also called endoscopic papillotomy.

Frequently Asked Questions About Sphincterotomy

All surgeries involve some potential complications. The risks associated with sphincterotomy don’t usually occur, but you should be aware of them.

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