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Savaici wrote:Welcome to the forum, zig123
The closed does seem to have less complications as far as I am aware. Less chance of incontinence. It also results in a smaller wound. I would imagine that most CRS would use this method, and would want to know why if the surgeon was considering the open method.
(The open technique involves making an incision across the intersphincteric groove, separating the internal sphincter from the anal mucosa by blunt dissection, and dividing the internal sphincter using scissors.
The closed technique or subcutaneous technique involves making a small incision at the intersphincteric groove, inserting a scalpel with the blade parallel to the internal sphincter and advancing it along the intersphincteric groove, and then rotating the scalpel towards the internal sphincter and dividing it.)
Return to LIS - Considering surgery or already had it?
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