Chennai Laparoscopy

Dr. Dinesh Ramaswamy

Lateral Sphincterotomy is a highly effective surgical procedure performed to treat chronic anal fissures that fail to heal with medical management. Persistent fissures cause severe pain, bleeding, and spasm of the anal sphincter, leading to poor blood flow and delayed healing. Lateral Sphincterotomy works by partially dividing the internal anal sphincter to reduce pressure, improve blood supply, and allow the fissure to heal naturally. It is considered the gold-standard surgical treatment for chronic fissures, offering rapid pain relief, high healing rates, and long-term symptom resolution when performed by an experienced surgeon.

What is Lateral Sphincterotomy?

  • A minor but definitive surgical procedure
  • Treats chronic anal fissures
  • Involves controlled division of the internal anal sphincter
  • Reduces sphincter spasm and resting pressure
  • Improves blood flow to promote healing
  • Performed under local, spinal, or short general anesthesia

It fixes the root cause—not just the symptoms.

When is Lateral Sphincterotomy Recommended?

Lateral Sphincterotomy is advised when:

  • Anal fissure persists beyond 6–8 weeks
  • Severe pain during or after bowel movements
  • Recurrent bleeding despite medication
  • Failure of topical treatments and dietary measures
  • High sphincter tone confirmed on examination

Delaying surgery prolongs pain and worsens quality of life.

Services in Chennai, Vadapalani and Porur

Lateral Sphincterotomy in Chennai

Lateral Sphincterotomy in Chennai is routinely performed in advanced surgical centers with strong colorectal expertise. Chennai is a preferred destination due to accurate diagnosis, modern anesthesia care, and structured post-operative follow-up.

Key advantages include:

  • Experienced colorectal and general surgeons
  • Day-care or short-stay procedures
  • Strict infection-control protocols
  • Faster recovery and early pain relief

Lateral Sphincterotomy in Vadapalani

Lateral Sphincterotomy in Vadapalani offers patients accessible, high-quality surgical care within the city. Hospitals in Vadapalani emphasize early intervention to prevent chronic pain cycles.

Benefits include:

  • Reduced waiting time for surgery
  • Safe anesthesia and pain management
  • Patient-friendly recovery protocols
  • Close post-procedure monitoring

Lateral Sphincterotomy in Porur

Lateral Sphincterotomy in Porur benefits from proximity to tertiary-care hospitals and multispecialty services. Patients receive seamless care from diagnosis to recovery.

Key strengths:

  • Accurate clinical assessment
  • Experienced surgical teams
  • Clean, well-equipped operating facilities
  • Structured wound and bowel-care guidance

How the Procedure is Performed

  • Preoperative evaluation and confirmation of chronic fissure
  • Administration of anesthesia
  • Small incision made near the anal sphincter
  • Partial division of the internal sphincter muscle
  • No removal of tissue required
  • Procedure duration: 15–30 minutes

It is precise, controlled, and minimally invasive.

Recovery After Lateral Sphincterotomy

  • Same-day discharge in most cases
  • Immediate reduction in pain and spasm
  • Mild discomfort for a few days
  • Normal bowel movements resume quickly
  • Return to daily activities within 3–5 days
  • Complete healing in a few weeks

Most patients report dramatic symptom relief.

Risks and How they are Minimized

  • Temporary pain or discomfort
  • Minor bleeding
  • Very low risk of incontinence (rare with proper technique)
  • Infection (uncommon)

Experienced surgical technique keeps risks extremely low.

Long-Term Outcomes

  • High fissure healing rates
  • Permanent relief from pain and bleeding
  • Improved bowel comfort
  • Minimal recurrence
  • Better quality of life

It is one of the most successful procedures in colorectal surgery.

Why Choose Dr. Dinesh Ramaswamy

  • Extensive experience in anorectal surgeries
  • Expertise in sphincter-preserving techniques
  • Evidence-based patient selection
  • Focus on pain control and rapid recovery
  • Low complication and recurrence rates
  • Clear guidance on diet, bowel habits, and follow-up
  • Patient-first approach with transparent communication

For fissure surgery, precision matters.

Conclusion

Lateral Sphincterotomy is a safe, effective, and definitive solution for chronic anal fissures that do not respond to conservative treatment. By addressing the underlying sphincter spasm, the procedure promotes natural healing and provides lasting relief from pain and bleeding. Outcomes depend on accurate diagnosis, surgical expertise, and proper postoperative care. Choosing an experienced surgeon ensures faster recovery, minimal complications, and durable results. When performed correctly, Lateral Sphincterotomy restores comfort, confidence, and quality of life.

Frequently Asked Questions

Common questions about Lateral Sphincterotomy and our services

Yes. It has a very high success rate for chronic fissures. By reducing sphincter pressure, it allows complete healing and significantly lowers recurrence risk.

In experienced hands, the risk of incontinence is extremely low. The procedure involves only partial, controlled muscle division to preserve continence.

Most patients resume routine activities within 3–5 days. Desk work may be resumed earlier depending on comfort.

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