The treatment of anal fissure by lateral subcutaneous internal sphincterotomy—A technique and results

M J Notaras

doi:10.1002/bjs.1800580204

The treatment of anal fissure by lateral subcutaneous internal sphincterotomy—A technique and results

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M J Notaras

Surgical Unit, University College Hospital, London

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<jats:title>Abstract</jats:title> <jats:p>A technique of internal anal sphincterotomy for anal fissure by the mid-lateral subcutaneous route is described. The operation avoids the “key-hole” deformity which occasionally follows the standard midposterior sphincterotomy. Lateral subcutaneous internal sphincterotomy resulted in rapid healing of the fissure with little discomfort and disturbance of anal function.</jats:p>