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The most important of these factors is the size of the sphincterotomy.
Compatible blood should be available for transfusion before performing a sphincterotomy.
In some cases, the risk of incontinence is too great to justify doing lateral internal sphincterotomy.
A procedure called anal advancement flap may be done instead of sphincterotomy.
Evidence of sphincterotomy related bleeding occurred in three (7.5%) patients, although none required blood transfusion.
The most commonly used surgery is lateral internal sphincterotomy.
This patient had not undergone a sphincterotomy before the insertion of the endoprosthesis.
When indicated, sphincterotomy was performed using a standard Erlangen type sphincterotome.
These three patients were notable for not having undergone a sphincterotomy before the insertion of the endoprosthesis.
This contrasts markedly with only four (3.7%) such cases in the 106 patients managed by sphincterotomy and stone extraction.
Haemorrhage after endoscopic sphincterotomy occurs in 2.5-4% of cases.
This is known as an internal sphincterotomy.
Good sphincterotomy technique is well described in standard texts and is crucial to the safety of the procedure.
The main surgery for chronic anal fissure is lateral internal sphincterotomy.
Only patients without a sphincterotomy developed cholangitis.
Even with a well performed sphincterotomy of judivious size, unpredictable harmorrhage still occurs in a few cases.
Lateral sphincterotomy is the Gold Standard for curing this affliction.
A sphincterotomy involves operating on the sphincter muscles, not closing the actual fissure.
Lateral internal sphincterotomy has a better success rate than any medicine that is used to treat long-term anal fissures.
The preferred procedure is lateral internal sphincterotomy.
The pain from the sphincterotomy is usually mild and is often less than the pain of the fissure itself.
Endoscopic sphincterotomy was performed in 16 patients with successful removal of all calculi in seven.
A sphincterotomy was not performed.
The use of this equipment should obviate this problem and also helps to ensure that the sphincterotomy continues in the correct direction.
Injections should be placed into the apex of the sphincterotomy, avoiding the area around the pancreatic duct.