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● 15 Years Experience Overall
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● 20 Years Experience Overall
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● 16 Years Experience Overall
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Treatments we offer
A lateral anal sphincterotomy is done to cut the internal anal sphincter (muscle) and release the tension in the muscle, which causes healing of the fissure. The internal anal sphincter is one of the two muscles that constitute the anal sphincter which controls the passage of faeces.
LIS is usually performed under general or spinal anaesthesia. The procedure can be performed in two ways, which are open sphincterotomy or a closed sphincterotomy.
- Open Sphincterotomy: The surgeon will make a small cut or an incision through the skin to reach the underlying sphincter muscle. Once the muscle is visible, the surgeon cuts into it. The incision or the cut is left open to heal.
- Closed Sphincterotomy: Here a blade is passed under the skin to access the underlying sphincter muscle. The incision can be closed or left open to heal. This surgical procedure is preferred for treating chronic (long-term) anal fissures.
Tretaments we offer
Sometimes, chronic anal fissures do not heal with Lateral Internal Sphincterotomy (LIS) and an advancement flaps procedure need to be done. In this, healthy tissues are taken from any other site of the body and are stitched in place to repair damaged fissured skin. This prevents incontinence of stools after surgery.
Treaments we offer
Laser-based surgeries (a method that uses focused light) are also used for fissures. A CO2 (carbon dioxide) laser is used for the treatment of fissures. It works by increasing the blood flow to the fissure, resulting in faster healing of the area. This method offers a fixed area of concentration and therefore, greater control over the surgery.
What is Anus And Anal Fissure?
The anus is the opening of the last part of your digestive system through which the stools are passed out from your body. The rectum (last part of the large intestine, where the stools are stored) is connected to the anus through a narrow tube-like space, the anal canal. The anal canal has two constrictions made up of muscles called sphincters (internal and external) and any tear in the muscles can cause an anal fissure.
An anal fissure is a small tear in the thin tissue (mucosa) that lines the anus. These are caused when you pass hard or large stools during a bowel movement.
Any tear in the muscles (sphincters) can cause an anal fissure. This causes a spasm in the inner sphincter leading to gaping in the fissure. Due to this, the blood supply to the area is sealed off causing pain and delayed healing. This spasm causes further tear during defecation, hence, preventing complete healing of the fissure. Anal fissures mostly develop in people with constipation. Other causes include:
- Chronic diarrhoea
- Irregular and poor bowel habits
- Pregnancy and childbirth
- Increased pressure (tone) of the anal sphincter muscles
- Inserting objects into the anus
- Medical conditions like Crohn’s disease and ulcerative colitis (inflammatory bowel disease), tuberculosis (infectious disease), gonorrhoea and syphilis, (sexually transmitted diseases), etc.
- Infections and injury in the anus/anal canal
- Anal cancers
The symptoms of an anal fissure consists of:
- Pain while passing stools
- Burning and itching sensation while passing stools
- Difficulty in passing stools
- Tear in the skin around your anus
- Blood present in the stools or on toilet paper while wiping (bright red in colour).
In most cases, the fissure heals within a week to 10 days. If the symptoms persist, it is recommended to visit your doctor for correct diagnosis and early treatment.
Your doctor will ask your medical history and perform a physical examination of your anal region to look for tears, swelling, ulcers (open sores) and bleeding. Few other tests may be advised to reach the diagnosis:
- Rectal examination with an anoscope: A thin tube called an anoscope is gently inserted into your rectum to check for tears in the anus or rectum.
- Sigmoidoscopy: A procedure to look at the rectum and the last part of the large intestine (colon) using an instrument called a sigmoidoscope.
- Colonoscopy: A procedure to examine the inside of the colon and rectum, using an instrument called a colonoscope.
An anal fissure can be managed through non-surgical and surgical methods but most anal fissures (acute fissures) do not require surgeries and can be managed at home by medical treatments.
- Non-surgical Management:
- Drink more fluids and increase your fibre intake to soften your stools
- Take a sitz bath
- Clean and dry your anus gently after going to the toilet
- Avoid straining while passing stools
- Medical treatments. Your doctor may prescribe some medications to help in passing your stools easily, painkillers and antibiotics to ease your pain and inflammation and other medications to relax your sphincters.
- Surgical Management: Surgery is advised if your anal fissure is causing persistent pain and bleeding (chronic fissure) that does not heal or respond to home remedies or medications. The procedure is called fissurectomy in which the damaged skin around the anus is removed.
Discuss your medical history with your doctor and inform them about any medications that you are currently taking and in case you have an allergy to any drugs. You may need to stop medications such as blood thinners (drugs taken to prevent the formation of blood clots) a few days before the surgery, as these can cause excess bleeding during and after the procedure.
- At the hospital:
Sphincterotomy is an outpatient procedure and you can return home the same day of the procedure. You will be kept under observation for 1-2 hours after the procedure. On discharge, your doctor will give you the necessary instructions to follow during the recovery period.
- At home:
- Take ample rest.
- Bathe after 24 hours of the surgery. Have a bath every time you go to pass stools to prevent infection.
- You may experience bleeding or discharge in your stool or on the toilet paper for around 10 days after the procedure. There is no need to worry as it will resolve on its own after 10 days. Clean the area with water and keep it dry.
- Drink plenty of water and eat fruits and vegetables to make your stools soft which will prevent constipation.
- Do not eat fried foods, dairy products and aerated beverages too often as they may cause constipation.
- Avoid straining while passing stools.
- Avoid strenuous activities for a few days after the procedure.
- Take your medications regularly as advised by your doctor.
Relieve yourself from Anal fissure
Hear it from our patients
My anal fissure surgery took place smoothly and I did not face any difficulties with the insurance procedure. My medical insurance got me covered with the cost of the surgery.
Rakesh Purohit
AccountantThe treatment was quite painless and I was able to recover immediately and could get back to my work soon after the anal fissure surgery.
Nisha Malhotra
Marketing HeadI opted for my anal fissure treatment without surgery. The experience was hassle-free and I did not have to face any issues. The doctors were very supportive and took away all my worries and fears regarding the treatment.
Vikram Seth
Marketing ManagerI opted for laser anal fissure surgery and had a painless experience while my anal fissure surgery was being treated. Laser surgery is a convenient option for anal fissure treatment.
Hema Sharma
Managing Directorworld-class treatment for the community.
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Why Practo Care Surgeries?
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in town
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Customers
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Team of Best Piles Specialists
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Frequently Asked Questions
Fissure surgeries are usually performed by a General surgeon or a Colorectal surgeon.
It is important that you get treated for anal fissure as, if not treated, it may become chronic and you may develop a fever, have difficulty in passing stools, severe pain and bleeding while passing stools.
Fissure surgery is a safe procedure and complications are rare. However, like any other surgery, there are a few expected risks which include the following:
- Bleeding from the site of the surgery
- Infection in the operated area
- Temporary difficulty in passing stools
- Pain at the incision site
- Incontinence of stools (inability to control bowel movements, causing involuntary leakage of stools from your rectum while passing gas)
Your doctor will schedule a follow-up appointment almost 7 to 10 days after the procedure to check for proper recovery.
- Cosmetically acceptable
- Shorter time is taken for the procedure
- Sutures that are used in laser procedures dissolve by themselves in a few days
- Reduces blood loss during surgery
- Painless procedure
- Early recovery from surgery
In case you experience any of these signs, consult your doctor immediately:
- Severe pain and bleeding from the incision
- High fever accompanied by chills
- Excessive discharge or bleeding from the anus
Piles (haemorrhoids) are enlarged blood vessels that can be seen in and around the anus (the opening of your bottom). Piles occur as a result of increased pressure in your lower rectum, causing stretching of veins around your anus. An anal fissure is a small tear in the thin tissue (mucosa) that lines the anus. The fissure causes a spasm in the inner sphincter leading to gaping and sealing of blood supply to the fissure.
The postoperative recovery period varies from person to person and complete recovery may take 6 to 10 weeks. You will be able to resume your normal activities within one to two weeks after the surgery.
The cost of anal fissure surgery ranges from INR 20,000 to INR 40,000. A laser fissure procedure can cost around INR 25,000 depending upon the type of surgery. The cost may vary on a case-to-case basis, depending on the procedure, complexities associated with the disease, institution, and geographical location.