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Sphincterotomy
Find the best hospitals for Sphincterotomy on the Bajaj Finserv Health platform.
Minimum Cost
₹35,000
Average Cost
₹42,500
Maximum Cost
₹50,000
- sphincterotomy cost in India depends on factors like the city, hospital and doctor.
- You can convert your sphincterotomy cost into easy, no-cost EMIs with Bajaj Finserv Health.
Quick links
- What is Sphincterotomy Surgery?
- Types of Sphincterotomy Procedure
- When is Sphincterotomy Operation Required?
- How to Prepare for Sphincterotomy Surgery?
- What happens before sphincterotomy surgery?
- What happens during sphincterotomy operation?
- Methods/Techniques used for performing sphincterotomy procedure
- Post Procedure details
- Risks and complications associated with sphincterotomy surgery
- Why Bajaj Health?
What is Sphincterotomy Surgery?
Sphincterotomy surgery is a medical procedure that involves the surgical cutting of a muscular ring or sphincter in the body. The surgery is often performed to treat conditions such as anal fissures, gallstone disease, or to relieve symptoms associated with sphincter dysfunction. An anal sphincterotomy is done to treat an anal fissure, which is a small tear in the thin, moist tissue that lines the anus. This condition can cause severe pain and bleeding during bowel movements. A sphincterotomy can help relieve these symptoms by reducing pressure on the anal muscle and promoting healing. On the other hand, an endoscopic sphincterotomy is done to remove gallstones stuck in the bile duct or to treat other problems related to the pancreas and bile ducts. In this procedure, a small incision is made in the sphincter muscle in the bile duct or pancreas to allow stones or other blockages to pass.
Types of Sphincterotomy Procedure
Endoscopic Retrograde Cholangiopancreatography (ERCP):
This is a type of sphincterotomy procedure that is used to treat problems in the bile and pancreatic ducts. During an ERCP, a flexible tube called an endoscope is inserted through the mouth, down the esophagus, and into the stomach and small intestine. The endoscope is equipped with a light and a camera that allows the doctor to see the ducts and perform the procedure.
Lateral Internal Sphincterotomy (LIS):
LIS is a surgical procedure used to treat chronic anal fissures. The goal of the surgery is to reduce the resting pressure within the internal anal sphincter, promoting healing of the fissure and relieving symptoms. This procedure is usually performed under general anesthesia.
Trans duodenal Sphincteroplasty:
This procedure is usually performed for patients with a dilated common bile duct and no gallbladder, often due to previous surgeries. The goal is to create a wider opening of the bile duct into the duodenum to allow better drainage. This is accomplished by making an incision into the sphincter of Oddi, a muscular valve that regulates the flow of bile and pancreatic juice into the duodenum.
When is Sphincterotomy Operation Required?
A sphincterotomy operation is required when a patient suffers from anal fissures. An anal fissure is a small tear in the thin, moist tissue that forms the lining of the anus. This condition can cause severe pain and bleeding during bowel movements. A sphincterotomy operation is performed to help relieve these symptoms.
This surgery is also needed when patients have gallstones stuck in the bile duct. Gallstones are hard, pebble-like deposits that develop in the gallbladder. If a gallstone gets lodged in the bile duct, it can cause severe pain and other complications such as jaundice or infection. A sphincterotomy operation is performed to remove these trapped stones.
Additionally, a sphincterotomy operation may be required for patients suffering from Sphincter of Oddi dysfunction. The Sphincter of Oddi is a muscular valve which controls the flow of digestive juices to the first part of the small intestine (duodenum). When this valve does not function properly, it could lead to severe stomach pain, nausea, and vomiting. A sphincterotomy operation can help relieve these symptoms by cutting the muscle to allow the digestive juices to flow more freely.
How to Prepare for Sphincterotomy Surgery?
The first step in preparing for a sphincterotomy operation is to discuss the procedure in detail with your doctor. They will provide you with detailed information about the procedure, risks, benefits, and alternatives. It's important to ask questions if you have any concerns or if there's anything you don't understand.
Before the operation, you may need to undergo several tests, including blood tests, an electrocardiogram (EKG), and imaging studies like an ultrasound or CT scan. These tests are necessary to assess your overall health and to ensure you are fit for surgery.
You will be asked to fast for several hours before the surgery. This is done to empty the stomach and reduce the risk of aspiration during anesthesia. Make sure to follow your doctor's instructions about when you should stop eating and drinking before the procedure.
It's also crucial to inform your doctor about your current medications. Some of these substances may increase the risk of bleeding or interfere with anesthesia. Your doctor may advise you to stop taking certain medications before the surgery.
Finally, make arrangements for someone who can drive you home after the surgery. You will be under the effects of anesthesia and will not be able to drive yourself. Also, ensure you have someone to help you at home as you recover from the procedure.
What happens before sphincterotomy surgery?
Before sphincterotomy surgery, your doctor will do a complete medical examination to check your overall health and eligibility for the procedure. This will typically involve a range of diagnostic tests, including blood tests, imaging studies, and possibly an endoscopic procedure.
You may be asked to stop taking certain medications before the surgery, especially those that can increase the risk of bleeding such as anticoagulants and antiplatelet drugs. Always discuss with your doctor about any drugs, supplements or over-the-counter medicines you are currently taking.
It is also important that you refrain from eating or drinking for several hours before the surgery to ensure that your stomach and intestines are empty. This reduces the risk of complications during the procedure.
You will be given detailed instructions on surgery preparation, including what to do on the day of the surgery, what to bring with you to the hospital, and what kind of care you will need after the procedure.
What happens during sphincterotomy operation?
During a sphincterotomy operation, you will be given anesthesia to so that the procedure is painless. This could be a local anesthesia, which numbs only the specific area of the body, or a general anesthesia, where you will be completely unconscious.
Your doctor will then make a small incision in the anal area to access the anal sphincter; this muscle controls the passage of stool. Using a special surgical instrument, the doctor will cut or stretch the sphincter muscle to relieve the pressure and allow for easier passage of stool.
The entire sphincterotomy operation typically takes about an hour to complete. However, the exact duration can vary as per the complexity of your condition and the specific surgical technique used.
Once the procedure is completed, you will be moved to a special ward dedicated to recovery where you will be closely monitored until you wake up from the anesthesia. You may feel some discomfort or pain around the surgical area, but this can be managed with medication.
Methods/Techniques used for performing sphincterotomy procedure
Sphincterotomy is performed to treat various diseases of the bile ducts and pancreas. The method involves the use of an endoscope that is advanced through the mouth, down the esophagus, and into the stomach to reach the bile ducts and pancreas.
The surgeon then makes a small cut in the sphincter of Oddi, a muscle that is responsible for regulating the flow of bile and pancreatic juice into the small intestine. This allows the surgeon to access the bile ducts and pancreas for further treatment or to remove gallstones.
The procedure is mostly done using general anesthesia; local anesthesia may be used in some cases. The procedure is done within an hour, and patients are usually able to return home the same day.
Post Procedure details
After the procedure, patients are typically observed in the recovery room for a few hours to monitor for any immediate complications. Patients may experience some discomfort or pain in the abdomen, which can be managed with pain medications.
Patients are generally asked to rest for the remainder of the day and to avoid driving or operating heavy machinery. Routine tasks can generally be resumed within a day or two.
Patients may also be advised to follow a specific diet for a few days to allow the digestive system to heal. Regular follow-up appointments are typically scheduled to monitor the patient's progress and to manage any post-procedure complications.
Risks and complications associated with sphincterotomy surgery
Like all surgical procedures, sphincterotomy carries some risks and potential complications. These include bleeding, infection, pancreatitis, and perforation of the bile ducts or pancreas. There is also the risk of an adverse reaction to the anesthesia used during the procedure. In very few rare cases, the procedure may be unsuccessful in treating the underlying condition, and additional treatment or surgery may be required. Patients should discuss the possible risks and advantages of sphincterotomy with their doctor to make an informed decision about their treatment. Patients should also immediately report any unusual symptoms or complications after the procedure to their doctor.
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DisclaimerThe cost of sphincterotomy depends on the following factors: the city, the hospital that is selected, the complexity of the procedure and the room chosen by the patient. The price range mentioned here is an approximation of the surgery cost; Bajaj Finserv Health does not claim that these prices are an exact estimate. For exact information about surgery charges, it is best inquire at the selected hospital.