Sphincterotomy

Sphincterotomy: Procedure Explained and Its Medical Applications

Sphincterotomy, a procedure that involves cutting or cutting the sphincter, is an important medical intervention used in various fields of medicine. The term "sphincterotomy" comes from a combination of the words "sphincter" (round muscle valve) and "tome" (Greek tome - cut, dissection), which indicates the main purpose of this procedure - to create an incision or dissection in the sphincter.

Sphincters are circular muscles that surround openings in the body and control the passage of fluids or gases through those openings. They play an important role in maintaining the normal function of many organs, such as the digestive system and the urinary system. However, sometimes medical conditions arise that require intervention with the sphincters.

Sphincterotomy is used in various fields of medicine and can be performed either as an open surgical procedure or using endoscopic techniques. Here are some examples of medical conditions that require a sphincterotomy:

  1. Sphincterotomy of Oddi: This is a procedure in which the sphincter of Oddi, the valve that controls the flow of bile and pancreatic juices into the intestines, is cut. Sphincterotomy of Oddi may be necessary if there is obstruction or dysfunction of this sphincter.

  2. Esophageal sphincterotomy: In cases of esophageal stenosis or other conditions that narrow the lumen of the esophagus, a sphincterotomy may be performed to widen these narrow areas and restore a normal esophagus.

  3. Anal sphincterotomy: This procedure may be used for anal fissures or sphincter spasms that may cause painful bowel movements. Cutting the sphincter can help relieve cramps and improve patency of the anus.

  4. Intravesical sphincterotomy: This is a procedure in which the bladder sphincter is cut. It may be recommended if there is severe sphincter spasm or overactivity causing problems with urination.

Sphincterotomy is a complex procedure that requires experienced medical personnel and appropriate equipment. It is always important to carry it out under the supervision of qualified professionals who have experience in this field.

It should also be noted that sphincterotomy, like any other medical procedure, is not without risks and side effects. Potential complications may include bleeding, infection, damage to surrounding tissue and nerves, and possible scar tissue formation. Patients should discuss the pros and cons of sphincterotomy with their doctor and make an informed decision about whether the procedure is necessary.

In conclusion, sphincterotomy is an important medical intervention that can be applied in various fields of medicine. It can eliminate or alleviate certain medical conditions associated with sphincter dysfunction. However, the decision to undergo sphincterotomy should be based on careful discussion with your physician and an assessment of the benefits and risks of the procedure in each individual case.



Sphincters (the preferred translation of the term sphincters, and not sphinctter, by analogy with digastricus (digastricus), trapezius (trapezius), circumflexus humeri (brachial cutaneous) or soleus (soleus)) are circular muscles that are part of the internal organs: esophagus, intestines, etc. ., located along the edge of the muscle walls and, along with the function of retracting the organ, perform the function of releasing its contents through narrow openings during coughing or peristalsis. In most cases, two sphincters are anatomically identified, but sometimes four and five mucous rings are also found.

Sphincteroma is a branch of gynecological surgery. Sphincteria is a pathophysiological term that describes disorders of the anal musculature. Procedures that involve surgical excision or cutting of the tough circular muscle (sphincter) open a passage for stool in the lower abdomen. This procedure is used when the intestine cannot move to pump out the intestinal mass in the sphincter on its own. It can be used as one of the treatment methods for constipation. The procedure significantly improves the patient's quality of life.

Such an operation will help improve stool even for women who have had both legs removed (as is often done for amyotrophic lateral sclerosis). But in any case, this procedure should never be the reason for admitting a woman to a hospital unless there is an immediate threat to their life.