Fissure Surgery in Indore

Diagnosis

Tests: A minor rip or cut in the lining of the anus causes an anal fissure. An anorectal specialist can easily identify an anal fissure with their naked eyes. However, if the doctor wants to be sure, he or she may suggest the following diagnostic tests:

Flexible sigmoidoscopy: The doctor will insert a small, flexible tube with a tiny camera at one end into your anus for this test. This test is best for those under the age of 50 who are healthy and have no risk of anorectal illness.

Colonoscopy: A colonoscopy is a procedure in which an anorectal doctor inserts a thin, flexible tube into the rectum to examine the colon. Colonoscopy is a procedure that can be performed on anyone over the age of 50. This test is also done in persons who have an anorectal issue and are at risk of colon cancer, chronic diarrhoea, or severe stomach pain.

Anoscopy: Anoscopy is a procedure that involves inserting a tubular device into the anus. The equipment provides a thorough imaging picture of the anus and rectum, allowing the doctor to pinpoint the specific location of the problem.

Diagnosis by Doctor: Anal fissure symptoms are frequently confused with those of piles or hemorrhoids. There's a good chance you'll feel awkward and ashamed discussing your symptoms with your doctor, but it's crucial to do so. By performing a physical examination, a skilled proctologist can diagnose anal fissures.

However, in order to rule out the problem, the fissure specialist may need to perform a rectal examination to properly diagnose the disease. The doctor uses a gloved finger to feel the abnormal growth inside your anus during this procedure.

Visual examination is usually enough to diagnose anal fissures. However, depending on the severity of your issue, the anorectal doctor may require additional testing before determining the best course of action.

Anal fissures are frequently linked to various health problems, such as Crohn's disease and other serious illnesses. In this scenario, the proctologist may suggest sigmoidoscopy, colonoscopy, or anoscopy for a more thorough examination. In order to better understand your situation, the doctor may additionally ask you the following questions:

• When did you first notice discomfort in your anal region?
• Is your bowel movement painful?
• Is there any family history of anal fissures?
• What is your typical nutritional regimen?
• Do you engage in any physical activity?

Surgery

Your doctor may consider surgery if you have a chronic anal fissure that is resistant to previous treatments or if your symptoms are severe.
Doctors commonly perform a lateral internal sphincterotomy (LIS) operation, which includes cutting a small piece of the anal sphincter muscle to relieve spasms and improve recovery. According to studies, surgery is far more beneficial than any other medical treatment for chronic fissures.

Open Surgery: Anorectal surgeons use open surgery to relax the anal muscle by making a tiny incision in the anal sphincter. The anal fissure heals after the muscle is relaxed. Open anal fissure surgery is a prominent therapeutic option that comes with a number of dangers and side effects, the most prevalent of which is persistent incontinence.

Laser Surgery: The patient is given local or general anaesthetic by the fissure specialist before the procedure. At the surgery site [anal fissure location], the doctor employs a laser probe to emit infrared radiation or laser beams. The high-energy laser beams encourage speedy and proper healing of the fissure by increasing blood flow to the location of the crack.

Lateral sphincterotomy: Doctors advocate lateral sphincterotomy as the most common fissure surgery. It is the least intrusive fissure surgery treatment and is painless. The procedure entails using a highly precise laser beam to make an incision in the sphincter muscle (i.e. the anal muscle that aids in stool passage). This relieves the fissure's stress and allows the damaged area to heal. The technique is straightforward and aids in the prevention of recurrence.

Anal Flaps: This anal fissure surgery is typically performed to treat chronic fissures. Healthy tissue from another section of the body is extracted and used to repair the harm caused by the fissure in this operation.

Risks during Anal Fissure Surgery

Anal fissure surgery is successful in the majority of cases, and the patient is delighted. However, like with any surgery, there is the possibility of problems during the procedure. Complications and inconsistencies can arise in a variety of ways, including:

Hemorrhage: Hemorrhage or bleeding during the surgery of an anal fissure is a possibility, however, it is quite unusual. A doctor may need to do extra surgery to control the bleeding if an unexpected haemorrhage happens.

Incontinence: Several individuals have reported experiencing transient incontinence following surgery. During this time, the patient may feel stool leaks and have trouble keeping gas. The condition is unlikely to last longer than 2-3 weeks, but it may persist until the patient is fully recovered. Incontinence is very likely to disappear once the person has fully recovered.

Perianal abscess: Though this is a rare complication, some persons have acquired an anal fistula after surgery to repair an anal fissure. In certain circumstances, the patient may require additional surgery to empty the abscess.

Extending Tear: Damage to the anal sphincter, surrounding muscle, or nerves can occur as a result of direct heat or mechanical trauma, or as a result of an infection that develops later. Incontinence can also be an effect of this. To avoid this problem, meticulous surgery procedures are required to maintain the integrity of the anal sphincters.

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