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Advanced Anal Fissure Surgery

Laser Surgery for Anal Fissure

Laser Surgery for Anal Fissure

Consult Dr. Samir Contractor for Anal Fissure Surgery.

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Anal fissures may sound like a minor problem, but anyone who has suffered from one knows how painful and disruptive it can be. Even the simple act of passing stools can feel like “passing glass,” leaving patients anxious, fearful, and avoiding bowel movements altogether. Many people silently struggle with anal fissures, often misdiagnosing them as piles (hemorrhoids). While early fissures sometimes heal with home remedies and lifestyle changes, chronic fissures (lasting beyond 6–8 weeks) often need surgical treatment for permanent relief.

The good news is that with modern techniques like Laser Fissure Surgery and Lateral Internal Sphincterotomy (LIS), treatment today is safe, quick, minimally invasive, and highly effective.

At our surgical practice, we combine:

  • Over 25 years of specialized surgical experience
  • More than 8,000 successful laparoscopic and anorectal surgeries
  • Advanced laser and minimally invasive technology
  • A patient-first philosophy, treating every patient with dignity and compassion

Understanding Anal Fissures

Laser surgery as a treatment for hemorrhoids

What is an Anal Fissure?

An anal fissure is a small tear in the thin, moist lining (mucosa) of the anus. Though tiny, this tear exposes underlying sensitive tissue and nerves, leading to severe pain, bleeding, and muscle spasm. Many patients describe the pain as sharp, burning, or cutting—which can last for hours after bowel movement.

causes and symptoms

Causes of Anal Fissures

  • Constipation – Passing hard, dry stools
  • Chronic diarrhea – Frequent irritation of the anal canal
  • Straining during bowel movements – Due to irregular toilet habits or prolonged sitting
  • Childbirth trauma – Common in new mothers
  • Underlying conditions – Crohn’s disease, tuberculosis, chronic inflammatory bowel disorders
  • Poor blood flow – Reduced circulation may prevent healing

Symptoms of Anal Fissures

  • Sharp pain during and after passing stools
  • Bleeding (bright red blood on toilet paper or stool surface)
  • Burning or itching around the anus
  • Visible tear or crack in the anal skin
  • Skin tag (sentinel pile) at the edge of chronic fissures
  • Fear of using the toilet due to pain
Impact on Daily Life

Impact on Daily Life

  • Fear of eating to avoid painful stools
  • Constipation-worsening cycle due to stool retention
  • Inability to sit comfortably at work or while traveling
  • Disturbed sleep due to lingering pain
  • Emotional stress and embarrassment discussing the condition

Early treatment is crucial to prevent the fissure from becoming chronic and harder to treat.

Diet and Lifestyle

Non-Surgical Treatments

Most acute fissures (less than 6 weeks old) respond well to conservative care.

  • Dietary fiber: Whole grains, vegetables, fruits to soften stools
  • Hydration: At least 2–3 liters of water daily
  • Stool softeners: Lactulose, isabgol husk
  • Topical creams: Nitroglycerin or diltiazem to relax anal sphincter muscle
  • Pain-relief ointments: Lidocaine gel for local pain reduction
  • Sitz baths: Sitting in warm water 2–3 times daily
  • Lifestyle changes: Avoid straining, maintain regular toilet routine, stay active

If these methods fail after 6–8 weeks, or if fissures keep recurring, surgery is recommended.

Surgical Treatments for Anal Fissures

Modern surgical options have transformed fissure treatment from painful open procedures to day-care, minimally invasive solutions.

Lateral Internal Sphincterotomy (LIS)

  • How it works: A tiny cut is made in the internal anal sphincter muscle to relieve spasm and allow healing.
  • Duration: 20–30 minutes
  • Anesthesia: Local, spinal, or general
  • Hospital stay: Same-day or overnight discharge
  • Recovery: Back to normal activities within 1–2 weeks

Advantages:

  • Permanent relief from fissure pain
  • Minimal recurrence rate
  • Simple, proven, and effective

Laser Surgery

  • How it works: High-precision laser reduces sphincter spasm, improves blood supply, and promotes healing.
  • Duration: 15–20 minutes
  • Anesthesia: Usually spinal or local
  • Hospital stay: Day-care procedure (discharge within hours)
  • Recovery: Resume routine within 2–3 days

Advantages:

  • Bloodless, painless procedure
  • No stitches required
  • Faster healing and recovery
  • Minimal post-operative discomfort
  • Very low recurrence rate

Botox Injection (for select cases)

  • How it works: Botox is injected into the anal sphincter to temporarily relax it.
  • Use: Useful for patients unfit for surgery.
  • Limitation: Relief lasts only 3–6 months; fissure may recur.
Non-Surgical Treatments

Diet and Lifestyle After Fissure Surgery

General Guidelines:

  • High-fiber diet to keep stools soft
  • Adequate hydration – 8–10 glasses of water daily
  • Avoid straining during bowel movements
  • Regular physical activity – walking, yoga, light stretching
  • Sitz baths for comfort and healing

What to Expect

01

Pre-Surgery Preparation

  • Clinical examination by expert surgeon
  • Blood tests and anesthetic fitness clearance
  • Counseling about diet, bowel habits, and post-op care
02

The Procedure

  • Takes 20–30 minutes
  • Painless under anesthesia
  • Laser or LIS technique chosen based on case
03

Immediately After Surgery

  • Observation for a few hours
  • Oral fluids resumed same day
  • Discharge on the same day or next morning
04

Recovery Timeline

  • Day 1–2: Mild discomfort, managed with painkillers
  • Day 3–5: Light activities, work-from-home possible
  • Week 2: Resume normal routine and walking
  • Week 3–4: Light exercise
  • 1 month: Near complete healing

Why Choose Us for Anal Fissure Surgery?

  • 25+ years of specialized surgical experience
  • Over 8,000 successful laparoscopic & anorectal surgeries
  • State-of-the-art laser technology for painless fissure surgery
  • Personalized patient care with complete dignity and privacy
  • Quick recovery and low recurrence rates
  • Surgical center easily accessible for patients

Gujarati-Friendly Meal Plan

Morning & Lunch

  • Breakfast:
    • Vegetable upma or poha with sprouts
    • A glass of warm water or buttermilk
  • Mid-Morning Snack:
    • Seasonal fruit (papaya, guava, orange)
    • Coconut water
  • Lunch:
    • 2 whole wheat rotis / phulkas
    • Dal (moong / toor)
    • Green leafy sabzi (methi, spinach, dudhi)
    • Small bowl of curd / chaas
    • Salad

Evening & Night

  • Evening Snack:
    • Handful of roasted chana / khakra
    • Green tea / lemon water
  • Dinner:
    • Khichdi with moong dal and vegetables
    • Light soup (tomato, carrot, spinach)
    • Salad
  • Before Bed:
    • Warm water with isabgol husk if constipated
Risks and Complications

Risks & Complications

Fissure surgery is very safe, but like any procedure, risks may include:

Why it is ideal for anorectal conditions:

  • Minor bleeding or infection (rare)
  • Temporary gas incontinence (usually resolves within weeks)
  • Recurrence (very rare with LIS/laser)

With an experienced surgeon, these risks are minimized.

FAQ's About Anal Fissures Surgery

Modern LIS and laser surgery are virtually painless, with minimal discomfort during recovery.

Most patients feel better within days and fully recover in 2–3 weeks.

Recurrence is very rare with LIS and laser treatment.

Yes, both laser and LIS are safe and effective for post-partum patients.

Most patients are discharged the same day.

Fiber-rich foods like khichdi, dal, vegetables, fruits, and buttermilk. Avoid spicy, oily food initially.

In expert hands, the risk of incontinence is extremely low.

Usually within 2–5 days depending on your job.

Acute fissures often heal with medicines and diet, but chronic fissures usually need surgery.

Both are effective. Laser has faster recovery and less discomfort; LIS is the gold standard for chronic fissures.

Yes, most health insurance policies cover fissure surgery.

Yes. That’s why proper examination by a colorectal surgeon is important.

High-fiber diet, hydration, avoiding straining, and regular exercise.

Yes, often due to constipation. Early treatment is crucial.

Yes, our practice offers advanced laser fissure treatment locally.

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