Chronic Fissure Surgery: What You Need to Know

Living with a chronic anal fissure can be painful and frustrating. When conservative treatments fail, surgery may become necessary. I want to share clear, practical information about chronic fissure surgery. This will help you understand what to expect and how to prepare.

Understanding Chronic Fissure Surgery

A chronic anal fissure is a small tear in the lining of the anus that does not heal within six weeks. It causes pain, bleeding, and discomfort during bowel movements. When the fissure becomes chronic, it often requires surgical intervention.

Chronic fissure surgery aims to relieve pain and promote healing. The most common procedure is lateral internal sphincterotomy. This involves making a small cut in the internal anal sphincter muscle. The cut reduces muscle spasm and pressure, allowing the fissure to heal. Sometimes fissurectomy that is excising the scar tissue is also required.

The surgery is usually done under local or general anaesthesia. It takes about 20 to 30 minutes. Most patients go home the same day. Recovery is generally quick, with pain relief starting soon after the procedure.

What to Expect During Surgery

• You will be given anaesthesia to prevent pain.

• The surgeon will make a small incision in the anal sphincter.

• The fissure area is inspected and cleaned.

• The incision helps reduce muscle tension.

• The wound is left to heal naturally.

  
  

After surgery, you may feel mild discomfort. This usually improves within a few days. Your doctor will provide pain relief medication and care instructions.

Surgical instruments for chronic fissure surgery

When Is Chronic Fissure Surgery Recommended?

Surgery is not the first step in treating an anal fissure. Doctors usually recommend conservative treatments first. These include:

• High-fibre diet to soften stools

• Increased water intake

• Warm sitz baths

• Topical creams and ointments

• Stool softeners

  
  

If these treatments do not heal the fissure after 6 to 8 weeks, surgery may be necessary. Surgery is also considered if the fissure causes severe pain or bleeding.

In some cases, chronic fissures develop a skin tag or sentinel pile. This can make healing difficult and may require surgical removal.

If you are considering surgery, it is important to consult an experienced specialist. For those looking for trusted care, chronic fissure surgery india offers expert treatment options.

What if a Chronic Fissure Is Left Untreated?

Ignoring a chronic fissure can lead to complications. The fissure may worsen and cause persistent pain. It can also lead to:

• Infection in the anal area

• Formation of an anal abscess

• Development of a fistula (an abnormal connection between the anus and skin)

• Increased bleeding and discomfort during bowel movements

  
  

Untreated fissures can severely affect your quality of life. You may avoid bowel movements due to pain, leading to constipation and further problems.

Early treatment is important. If you notice symptoms lasting more than a few weeks, seek medical advice. Surgery can prevent these complications and restore comfort.

Preparing for Chronic Fissure Surgery

Preparation helps ensure a smooth surgery and recovery. Here are some steps you can take:

1. Medical Evaluation

   Your doctor will review your medical history and perform a physical exam. They may order tests to rule out other conditions.

   
   

2. Diet and Hydration

   Eat a high-fibre diet and drink plenty of water before surgery. This helps keep stools soft.

   
   

3. Medication Review

   Inform your doctor about all medications and supplements you take. Some may need to be stopped before surgery.

   
   

4. Bowel Preparation

   You may be asked to use a mild laxative or enema before surgery to clear the bowel.

   
   

5. Arrange Support

   Plan for someone to accompany you on the day of surgery and assist during recovery.

   
   

Following these steps can reduce risks and improve outcomes.

Recovery and Aftercare

After surgery, you will receive instructions to promote healing and reduce discomfort. Key points include:

• Pain Management

Use prescribed painkillers as directed. Over-the-counter options may also help.

• Hygiene

Keep the anal area clean and dry. Warm sitz baths several times a day can soothe pain.

• Diet

Continue a high-fibre diet and stay hydrated to avoid constipation.

• Activity

Avoid heavy lifting and strenuous exercise for at least two weeks.

• Follow-up

Attend all scheduled appointments to monitor healing.

Most patients heal within 4 to 6 weeks. If you notice increased pain, bleeding, or signs of infection, contact your doctor immediately.

Why Choose Expert Care for Chronic Fissure Surgery?

Choosing the right surgeon is crucial. Expertise in anorectal conditions ensures accurate diagnosis and effective treatment. In Kolkata, Dr. Arnab Ray is a leading expert in Ayurvedic proctology. His approach combines modern surgical techniques with Ayurvedic principles for holistic care.

If you are considering surgery, look for a specialist who understands your needs and offers personalised treatment plans. This can improve your recovery and long-term health.

For trusted options, explore chronic fissure surgery india to find expert care near you.

Understanding chronic fissure surgery helps you make informed decisions. With the right care, you can overcome pain and return to a comfortable life. If you experience persistent anal pain or bleeding, seek professional advice promptly. Early intervention can make all the difference.