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.

Know about Piles/ Hemorrhoid

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