How is Fissurectomy performed?

The fissurectomy was performed using an electric scalpel, with the dissection starting by an incision of the anal verge below the edge of the fissure, then surrounding it, and eventually going above the dentate line (Fig. 1). Any associated skin tag was removed within the same piece of tissue.

How long does it take to recover from sphincterotomy?

Most people can go back to work and their normal routine 1 to 2 weeks after surgery. It will probably take about 6 weeks for your anus to completely heal. Most people get better without any problems. But a small number of people have problems controlling stools when they pass gas.

What should you not do after sphincterotomy?

Avoid strenuous activity for 1 week after your procedure.

Take sitz baths (sit for 15-20 minutes in warm water) three times a day and after each bowel movement for the first few days.

Don’t worry if you have some bleeding, discharge, or itching during your recovery.

Avoid constipation.

How painful is a Fissurectomy?

While a fissurectomy is a much less common procedure than the lateral sphincterotomy, there are some cases where it may be preferred. While pain gradually declines after a fissurectomy, patients who have a sphincterotomy often have an immediate reduction in pain.

Does Fissurectomy cause incontinence?

Regarding fecal incontinence, only 2 percent of the patients in the fissurectomy group experienced any incontinence events during the long-term follow-up compared with 5 percent of the patients in the lateral sphincterotomy group (P > 0.05, unpublished data).

What is Fissurectomy surgery?

A fissurectomy is another surgery that can be used to treat anal fissures. This procedure produces the same result as a sphincterotomy, except that during this surgery, the edges of the fissure are also surgically removed, as are any skin tags that may have occurred in conjunction with chronic tears.

Is Lis surgery painful?

Fissure surgery or sphincterotomy is less painful than the fissure itself. This surgery causes mild pain and reduces pain and pressure resulting from fissures.

How long does it take to heal from a Fissurectomy?

While full healing may take six to ten weeks, most patients feel relief from their symptoms almost immediately. Most people return to work within a few days.

How long does incontinence last after sphincterotomy?

FI after LIS usually occurs mildly (soiling or flatus incontinence) and lasts only for few weeks up to 6 months23, 24; even so some authors had reported persistent fecal incontinence for 12 months after LIS surgery.

Which surgery is best for fissure?

The process of laser surgery for fissure does not cause bleeding at all.

Since the procedure does not cause any cuts,therefore you can be sure that you would not have any possibility of stitches.

The recovery rate is very high in this process of treatment of a disease like fissure.

What can I expect from fissure surgery?

Stool leakage and mucus or bloody drainage will be witnessed during the first few days after the anal surgery; this only lasts for a week or two.

Undress the wound the morning after your surgery and get into a warm bath tub.

After every hot bath,use Silvadene cream on your anus for the first ten days.

How to cure fissures naturally?

When I feel a bowel movement coming on,I pull out my Squatty Potty,and cover my finger with coconut oil.

When your bowel is starting,remember to RELAX.

Sometimes in between bowels,I’ll stand up so I’m not putting extra pressure on the area.

Once I’m done,I gently dab with a moist wipe until the area is completely clean.

What is treatment for rectal fissure?

Externally applied nitroglycerin (Rectiv),to help increase blood flow to the fissure and promote healing and to help relax the anal sphincter.

Topical anesthetic creams such as lidocaine hydrochloride (Xylocaine) may be helpful for pain relief.

Botulinum toxin type A (Botox) injection,to paralyze the anal sphincter muscle and relax spasms.