Lateral Internal Anal Sphincterotomy
DATE AND TIME: [Date and time]
URGENCY: Elective / Non-elective
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]
OPERATION: Lateral Internal Anal Sphincterotomy
ANAESTHETIC: General / spinal / local anaesthesia with sedation
ANTIBIOTICS: [Drug and dose / Not indicated]
DVT PROPHYLAXIS: [Agent / mechanical / Not indicated]
POSITION: Lithotomy
INDICATION:
Chronic anal fissure refractory to conservative measures and topical pharmacological therapy (glyceryl trinitrate / diltiazem / botulinum toxin). [Position: posterior midline]. Anal manometry [if performed] confirming hypertonia. [Sentinel pile and hypertrophied anal papilla present].