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    Anal Fissure Surgery

    Anal Fissure Surgery

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      What is an anal fissure?

      An anal fissure refers to a split or injury in the lining of the anal canal. An anal fissure often results from constipation or exerting pressure while passing hard or large stools during bowel movements. This condition usually brings about discomfort and bleeding during defecation, accompanied by spasms in the anal sphincter muscle. Anal cracks may develop gradually or abruptly. They may also recover quickly or gradually.

      Anal fissures are prevalent among infants but can occur across people of all age groups. In most cases, these fissures improve with basic remedies like adding more fiber to the diet or taking warm baths. However, certain individuals with anal fissures might require medication or, in rare instances, fissure surgery or fissurectomy surgery is required.

      Anal fissures can be categorized as:

      • Acute: Acute fissures might resemble a basic tear in the anus.
      • Chronic: Lasting over 8–12 weeks, chronic ones might exhibit swelling and scar tissue. Treating chronic fissures can be more challenging and might involve an external lump around the tear.

      Symptoms

      Some symptoms of anal fissure are mentioned below:

      • Pain during bowel movements
      • Burning or itching during defecation
      • Fresh, red blood in stool
      • Post-bowel movement pain persisted for several hours.
      • Anal muscle spasm
      • Visible crack in skin around the anus
      • A Lump or skin tag in skin near anal fissure

      When and how to identify you need a treatment?

      Anal fissures often cause discomfort, pain and can also impact day to day activities. While conservative treatments suffice for most cases, surgery might be necessary for lasting relief.Some signs and symptoms are there that indicate the need for fissure surgery, the different surgical options available.

      Below mentioned are some of the symptoms which indicates that there is a need of fissure surgery:

      • Chronic and severe pain: Intense and continuous pain around the anal region, despite attempting multiple non-surgical remedies, might signal a chronic fissure, indicating the need for surgical intervention.
      • Recurring fissures: When anal fissures recur repeatedly despite attempts with conservative treatments, a surgeon may suggest surgery to address the root cause triggering the persistent reappearance of the condition.
      • Failure of conservative treatments: If standard over-the-counter remedies, lifestyle adjustments, and topical treatments don’t bring substantial relief, a healthcare provider might propose fissure surgery as a more potent alternative.
      • Presence of secondary complication: In some instances, complications arising from anal fissures like infection, abscess formation, or the emergence of fistulas can prompt the need for surgery to manage the underlying issues.
      • Bleeding: Continuous bleeding from the anus, particularly if it’s severe or repetitive, warrants consultation with a healthcare provider to identify the cause. Surgery might be considered to address the fissure and prevent ongoing bleeding.
      • Impaired quality of life: Anal fissures can heavily influence your daily routine, causing discomfort, embarrassment, and disrupting regular activities. If the fissure significantly diminishes overall well-being and quality of life, surgery might be advised. 
      • Persistent symptoms: Persistent symptoms such as itching, burning, and discomfort in the anal region for a prolonged duration, despite attempting several treatments, could suggest that fissure surgery is essential for complete healing.

      Treatment options and utilities of treatment options at TaCa

      Below mentioned are some of the surgical treatments which are available for the treating anal fissure:

      • Lateral internal sphincterotomy (LIS): Lateral anal sphincterotomy involves cutting a small portion of the anal sphincter muscle. This laser surgery for fissure may help in promoting healing and reduce spasm and pain. 
      • Open anal fissure surgery: It is a traditional method used for the treatment of anal fissures.
      • Laser anal fissure surgery:It is the most effective method for the treatment for chronic fissures.

      Treatment options at TaCa

      At TaCa, we offer several treatment options as per the requirement and condition of the patient. When surgery becomes necessary for anal fissure, the doctor might explore the following options:

      • Lateral internal sphincterotomy (LIS): Lateral anal sphincterotomy involves cutting a small portion of the anal sphincter muscle. This laser surgery for fissure may help in promoting healing and reduce spasm and pain. 
      • Open anal fissure surgery: It is a traditional method used for the treatment of anal fissures.
      • Laser anal fissure surgery:It is the most effective method for the treatment for chronic fissures.

      Cost of treatment at TaCa

      TaCa strives to provide top-notch healthcare services at affordable rates, ensuring accessibility for all. TaCa strongly advocates that minimizing preventable hospital admissions is both a moral obligation and a cost-efficient method for ensuring fair and accessible healthcare. We aim to deliver high-quality surgical care conveniently located near individuals. Collaborating with specialized physicians and healthcare partners, TaCa implements proven innovations and best practices to enhance patient care. Below mentioned are some of the benefits which TaCa is offering to the patients:

      • Free Doctor Consultation
      • Highly Experienced Surgeons
      • No Cost EMI
      • Pick and Drop Service
      • Dedicated Assistance by TaCa Dost
      • Affordable Cost
      • Short Hospital Duration
      • Hassle Free Insurance Support
      • Extensive Hospital Network
      • Surgery Near to Your Location

      Care by TaCa–After treatment

      Post-surgery care initiates right after surgery, extending throughout hospital stay and potentially continuing post-discharge. As an integral aspect of post-operative care TaCa handholds the patients and also helps them in getting free follow-up visits with surgeons, so that it may not be a hassle for them after surgery.

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        FAQ's

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        Anal Fissure Surgery

        Yes, diet adjustment could be beneficial. Increase water intake, consume more fresh fruits and vegetables, and avoid spicy foods and nuts during symptom flare-ups.

        The majority of anal fissures typically resolve within a few days to weeks, while a chronic one persists beyond eight weeks. If dealing with a chronic anal fissure, the treatment and recovery process might extend for an additional 6–12 weeks.

        Acute anal fissures may not require intervention or a prescribed cream like lidocaine can be beneficial for temporary pain relief. However, if a fissure persists without healing for several weeks, it needs treatment.

        Not all but many individuals experience pain due to an anal fissure. They often describe it as sharp, tearing, cutting, or burning sensations. Some may also note that the pain radiates to their buttocks, upper thighs, or lower back.

        TaCa is having a team of skilled or good surgeons that are important because they know the significance of determining when surgery is necessary and when it's not. They recognize that the decision-making process holds more significance than the surgical procedure itself. Ultimately, the aim of any surgery is to serve the patient's well-being.

        Complications of anal fissure includes: 

        • Failure to heal: If an anal fissure doesn't heal in eight weeks, it's classified as chronic and might require additional treatment.
        • Recurrence: If someone has experienced an anal fissure, they are prone to have another one.
        • Reduced quality of life
        • Clotting
        • Uncontrolled bowel movements and gas
        • Trouble during bowel movements, causing many individuals to avoid using the restroom due to the associated pain and discomfort.

        Several factors are there which are responsible for the cost of fissure treatment:

        • Type and severity of anal fissure 
        • Type of surgery performed
        • Hospital’s type and location 
        • Anesthesiologist fee
        • Medication cost
        • Cost of diagnostic tests

        The recovery period following treatment for an anal fissure can vary depending on the type of treatment received.

        • For non-surgical approaches such as dietary changes, topical medications, and lifestyle modifications, improvement might occur within a few weeks to a couple of months.
        • If surgical intervention is necessary, recovery timelines can differ based on the procedure performed. For procedures like open fissure surgery the recovery is slow, usually takes around 3–4 weeks. In fissure laser surgery the recovery is quick, normally within 5–7 days.

        Fissures can recur easily, and it is quite common for a fully healed fissure to recur after a hard bowel movement or other trauma. Even when the pain and bleeding have subsided, it is very important to continue good bowel habits and a diet high in fiber as a lifestyle change. 

        • The likelihood of recurrence in LIS (Lateral Internal Sphincterotomy) is minimal, typically ranging from 1–6%.
        • With Botulinum toxin injection treatment recurrence can be there in up to 40% of patients.