Anal Fissure Treatment in Gurgaon

Fissure is a crack-like tear present in the anal lining, which develops due to straining, constipation, or over-diarrhea of any form. It can give rise to severe pain and discomfort as well as bleeding. In general, fissures resolve spontaneously with modification in diet, medication, and exercise. However, when symptoms last for weeks or are recurrent, surgical intervention may provide a permanent solution to discomfort.

Anal Fissure Surgical Procedures

Here are the most common surgical options for treating anal fissures:-

1. Lateral Internal Sphincterotomy (LIS)

Lateral Internal Sphincterotomy (LIS) is the most commonly performed surgical procedure for chronic anal fissures. In this procedure:

• A small incision is made in the internal anal sphincter muscle.
• This helps reduce internal pressure, allowing the fissure to heal naturally.
• LIS has a high success rate and provides long-term relief from pain and discomfort.

2. Fissurectomy

Fissurectomy is another effective surgical approach for treating chronic anal fissures. It involves:

• Removing (debriding) the fissure along with the damaged surrounding tissue.
• This promotes the growth of healthy new tissue.
• It is often performed in combination with other treatments for better results.

3. Laser Internal Sphincterotomy

A modern, minimally invasive alternative to traditional sphincterotomy, this procedure:

• Uses a laser to create a precise incision in the internal sphincter muscle.
• Reduces anal pressure while minimizing bleeding and post-surgical pain.
• Offers quicker recovery and lower risk of complications.

4. Anal Dilatation (Manual or Balloon Dilatation)

Anal dilatation is a less commonly used procedure, involving:

• Controlled stretching of the anal canal to reduce sphincter pressure.
• This can be done manually or with the help of a balloon device.
• While it can provide relief, it carries a higher risk of incontinence compared to LIS.

Tests Conducted Prior to Performing Surgery

Doctors perform several checks and tests before booking the surgery to understand the patient’s condition and dig deeper into any possible complications. 

• Physical check – The doctor visually inspects the anal region to check for any infection, fissures, or swelling.
• Proctoscopy – A light attached to the end of a small tube is guided through the anus to see the fissure and the tissues around it.
• Blood test – The infection’s presence, sugar levels, and general health condition prior to surgery is evaluated thorough these tests. 
• Colonoscopy (if needed) – If a patient shows symptoms such as moderate to severe pains, bleeding without a known cause, or even a history of inflammatory bowel diseases, the patient will need a colonoscopy and perhaps a few other tests to rule out possible diseases of the digestive tract. 

What Happens on the Surgery Day

On the day of surgery, the patient undergoes further preparation that enhances the effectiveness of the surgery and guarantees a flawless procedure. 

Fasting for six hours before the surgery guarantees that anesthesia works as intended, preventing subsequent complications. 

The area will be numbed completely and the patient will not feel any pain during the procedure, thanks to either local or general anesthesia that will be received. 

The procedure can take from 30, up to 60 minutes, depending on the chosen surgical method and how complex it is.

Following surgery, the patient is kept in a recovery room for a couple of hours to be monitored. Most patients are able to go home the same day, but some may stay the night if necessary.

How Many Days Would It Take To Recover?

Most fissure surgeries heal quickly, but it is important to take care after surgery in order to avoid complications.

• First 1-2 days – Some mild discomfort and pain may be present which can be managed through the warm sitz bath or medication given to the patient.
• Within a week – Most patients are able to perform light duties, but should avoid heavy lifting or straining.
• Two to four weeks –Surgical sites typically heal within 2 to 4 weeks, but it’s important to maintain a high-fiber diet and stay hydrated to ensure soft stools and a smooth recovery.

Final Thoughts

Fissure surgery is a highly effective solution for chronic anal fissures, providing long-term relief from pain and discomfort. Most patients can return to their daily activities as early as the next day, following proper post-operative care.

At The Base Surgery Clinic, skilled surgeons use advanced, minimally invasive techniques to ensure faster recovery with minimal pain. If you’re experiencing persistent discomfort from anal fissures, seeking timely medical care can significantly improve your quality of life. 

Book a consultation today and take the first step toward a pain-free life.