Indications for Internal Lateral Sphincterotomy

1. Chronic Anal Fissures:
   • Persistent fissures unresponsive to conservative treatments such as dietary adjustments, fiber intake, and topical medications.
2. Hypertonic Internal Anal Sphincter:
   • Excessively tight sphincter muscle causing increased pressure and delayed healing of the fissure.

Pre-Procedure Considerations

1. Thorough Consultation:
   • Consultation with Dr. Shyam Prasad P.S. or another qualified Ayurvedic physician to evaluate the patient’s condition and discuss the procedure’s risks and benefits.
2. Diagnostic Evaluation:
   • A comprehensive physical examination, including proctoscopy, to confirm the diagnosis and assess the severity of the fissure.
3. Pre-operative Preparation:
   • Instructions may include dietary adjustments and bowel preparation to ensure readiness for the procedure.

Procedure Overview

1. Anesthesia:
   • Local anesthesia, including a SEPTA block, is administered to numb the area and provide pain-free surgical experience.
2. Incision:
   • A small incision is made in the internal anal sphincter muscle to reduce pressure, improve blood flow, and facilitate healing.
3. Wound Care:
   • The wound is cleaned thoroughly and dressed with care.

Post-Procedure Care

1. Wound Care:

   • Instructions for proper wound care include:
     • Gentle cleaning with warm water after each bowel movement.
     • Sitz Baths: Sitting in a shallow tub of warm water (98–100°F) for 15–20 minutes, 2–3 times daily, to soothe the area, reduce inflammation, and support healing.

2. Pain Management:

   • Prescribed medications to alleviate any post-operative discomfort.

3. Dietary and Lifestyle Guidance:

   • Diet:
     • Focus on easily digestible foods such as rice, lentils, fresh vegetables, and fruits.
     • Avoid spicy foods, fried items, alcohol, and excessive caffeine.
     • Incorporate fiber-rich foods like fruits, vegetables, and whole grains to ensure soft stools.
   • Exercise:
     • Engage in gentle activities like walking to improve blood circulation.
   • Stress Management:
     • Techniques like deep breathing and meditation to promote relaxation and recovery.

4. Follow-up Consultations:

   • Scheduled visits with Ayurvedic physicians to monitor healing and adjust care plans as needed.

Contraindications

1. Pregnancy:
   • This procedure is generally not advised during pregnancy.
2. Bleeding Disorders:
   • Individuals with conditions like hemophilia may not be suitable candidates.
3. Inflammatory Bowel Disease:
   • Patients with active inflammatory bowel disease may require alternative treatments.

Why Choose Yogakshema Ayurveda Hospital?

At Yogakshema Ayurveda Hospital, we blend Ayurvedic principles with modern surgical advancements to provide personalized care. Internal Lateral Sphincterotomy is performed by experienced medical professionals in a sterile, well-equipped environment, ensuring:

• Safety: Adherence to strict hygiene and surgical protocols.
• Comfort: Minimally invasive techniques for faster recovery.
• Comprehensive Care: Holistic support to promote healing and overall well-being.

Let us help you regain comfort and ease with our compassionate, effective treatments.