Laser Surgery For Fissure

Anal fissure is a intensely painful anal condition where there is a discontinuity in anal lining. The uncovered bare area, when comes into contact with stool, produces pain and occasional bleeding during passage of stool. If left untreated for prolonged period, it gives rise to anal stenosis resulting in secondary constipation.

What is anal fissure?

An anal fissure, a minor tear or crack in the thin, moist tissue (mucosa) lining the anus, causes excruciating pain and some bleeding during and after bowel movements, says the best fissure doctor in Kolkata.

What is the cause of anal fissure?

  • It typically occurs when passing large or hard stools.
  • Chronic constipation or frequent diarrhoea can also tear the skin around your anus
  • Straining during childbirth or bowel movements
  • Overly tight or spastic anal sphincter muscles
  • Inflammatory bowel disease, anal cancer, HIV, TB etc.

What are the symptoms of anal fissure?

Patients with an anal fissure may have one or more of these symptoms:

  • a clearly visible tear in the skin around your anus
  • sharp pain in the anal area while passing stool
  • burning or itching in the anal area
  • streaks of blood while passing stool
  • a small lump of skin or skin tag, next to the tear

What is the treatment for anal fissure?

The treatment options for anal fissure is medical and surgical. In medical treatment laxatives, ointments and Sitz bath is given however the relief obtained is only temporary and pain and bleeding returns again after a while.

What are the surgical treatment options for anal fissure in Kolkata?

The surgical options are

  • Open fissure surgery (sphincterotomy)
  • laser fissure surgery (sphincterolysis)

What is laser fissure surgery for anal fissure?

In laser sphincterolysis the tight anal sphincter muscle is released with a laser energy source and provides immediate relief of symptoms. It is the most latest and advanced method of treating anal fissure.

How long does the procedure take?

Laser sphincterolysis takes only 10-15 mins

What are the benefits of laser over open surgery in fissure?

  • No cut, stitches or big wound
  • Painless, bloodless procedure
  • Less than 24 hours of hospital stay
  • No complication such as incontinence
  • Quick recovery and return to normal life (within 24 hours)
  • No dressing required
  • Extremely cost-effective

Will my procedure be covered by insurance?

Yes, we cover all insurance and mediclaim.

What our patients say

Who are at risk:

  • Expecting women are more at risk of getting affected by anal fissures due to the pressure on their perineum.
  • local ischaemia or spasm of the anal sphincter can increase the risks of people to develop anal fissures.
  • Unusual anal fissures may develop in those with Crohn’s disease, anal cancer, local trauma (anal intercourse), sexually transmitted diseases (particularly syphilis, herpes simplex, and HIV), tuberculosis or receiving chemotherapy

Management:

Initial management is directed at minimising further local trauma, providing adequate pain relief, relaxing the anal sphincter spasm and avoiding further constipation.

  • Laxatives and fibre supplements : stool must be kept soft (the passage of hard stool may undo weeks or months of healing)
  • Pain relief measures such as

-Sitz bath: regular warm salted baths

-Local anaesthetic creams

-Oral pain medications (analgesics)

 Surgical techniques are commonly used for anal fissures which are resistant to medical therapy. They are aimed to relax the internal sphincter. They include:

  • Closed lateral sphincterotomy
  • Open lateral sphincterotomy and
  • Posterior midline sphincterotomy.

 Surgery is basically superior to medicinal treatment options, but it should only be considered in patients with chronic anal fissures where medical treatments have failed, says Dr. Bhowmik who is considered to be the best laser surgeon in Kolkata. There is, however, a slight risk of faecal and flatus incontinence following surgery.

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