Description

Familiarity with Treatment

A fissurectomy is a surgical procedure used to treat chronic anal fissures. It involves the removal of the fissure and any associated scar tissue to promote healing.

Procedure

During a fissurectomy, the surgeon removes the surface layer of the fissure, which may have developed scar tissue from chronic healing and reopening. The procedure also involves removing other skin complications, such as skin tags or piles, to help the wound heal more effectively.

Who is it Suitable For?

• Patients with chronic anal fissures that have not responded to conservative treatments like topical medications or dietary changes.
• Individuals with recurrent fissures that cause significant pain and discomfort.

Who is it Not Suitable For?

• Patients with active infections in the anal area.
• Individuals with certain underlying health conditions that may complicate surgery or healing.
• Patients with poor overall health or those who are not good candidates for surgery due to other medical reasons.

Advantages

• Effective in healing chronic fissures and preventing them from returning.
• Does not involve cutting the sphincter muscle, which can reduce the risk of incontinence compared to other procedures.
• Can address additional complications like skin tags or piles, providing comprehensive treatment.

Complications

• Risk of infection at the surgical site.
• Potential for incontinence, although less common than with sphincterotomy.
• Pain and discomfort during the recovery period.
• Bleeding or other complications related to surgery.

Previous Care

• Conservative treatments such as topical ointments, dietary changes, and sitz baths are typically tried before considering surgery.
• Medical evaluation to ensure the patient is a suitable candidate for surgery.

Aftercare

• Pain management with prescribed medications.
• Maintaining hygiene in the anal area to prevent infection.
• Dietary adjustments to ensure soft stools and avoid straining.
• Follow-up appointments with the surgeon to monitor healing and address any complications.