How is surgery performed for anal fissure?
Disease description:
I have been suffering from anal fissures for a long time, with severe pain, especially during bowel movements. I would like to pursue surgical treatment. How is the surgery performed?
Doctor's answer (1)
Dr. Li Jingxiang
Anal fissure is one of the common diseases affecting the anal area, mainly manifesting as anal pain, bleeding, and constipation. Surgery for anal fissures is primarily indicated for patients with chronic fissures or those who fail to respond to conservative medical treatment. The goal of surgery is to relieve pain, promote healing, and prevent recurrence.
Common surgical treatments for anal fissures include the following:
1. Anal dilation: This procedure involves dilating the anal sphincter to relieve anal spasm and promote fissure healing.
2. Longitudinal internal sphincterotomy with transverse closure: This procedure generally involves making a longitudinal incision along the anal canal at the site of the fissure, followed by partial dissection of the internal sphincter to allow passage of two fingers, thereby reducing anal spasm.
3. Skin flap grafting: This method is used for complex anal fissures, in which healthy skin tissue is transplanted to the site of the fissure to promote healing.
After surgery, patients should pay attention to dietary adjustments, maintain regular bowel movements, and avoid prolonged sitting, standing, or strenuous activity, which may interfere with wound healing. In addition, regular dressing changes and sitz baths should be continued to maintain cleanliness and dryness of the perianal area. If any discomfort or abnormal bleeding occurs, prompt medical attention should be sought.
