Fissure in Ano Surgery
Best Anal Fissure Surgeon in Delhi – Dr. Sushant Wadhera
Fissure in Ano Surgery is the most effective management
of this extremely painful anal disease.
What is Fissure in Ano
-
Chronic Fissure in ano at 6 o clock
An extremely painful anal condition due to a tear in the lining of the anus.
- Chronic Constipation is the most important factor.
- Anal intercourse and Childbirth may also cause it.
- The torn anal lining exposes the underlying muscle, as a result of which there are severe anal spasms during passing motion.
What are the symptoms
- Severe Pain and spasms while passing motion.
- Fear of passing motion due to impending pain
- Bleeding which is usually fresh and bright red.
- A visible crack in the skin and a skin tag near the anal fissure.
Medical Management
- Effective for early cases only.
- Not very effective for chronic cases.
- Includes stool softeners, ointments etc. which have only short term benefit.
- It provides temporary relief as it does not address the underlying thickened anal sphincter.
Surgery for Fissure in Ano
- This is the most effective therapy because it addresses the underlying tensed anal sphincter.
- It’s a short procedure, can be performed as a Day Care surgery.
- Patient can resume daily activity shortly.
Lateral Internal Sphincterotomy (LIS)
- The thickened, tensed internal sphincter is cut laterally.
- Immediately relieves the anal spasm and pain.
- Leads to healing of the ulcer because the anal mucosa is relaxed.
Fissurectomy
- Sometimes performed with the LIS for promoting healing of the ulcer.
A Fissure in Ano maybe also be present along with hemorrhoids as both are linked to chronic constipation.
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