Doctors for Fissure in Mumbai

A small rip or cut in the lining of the anus or lower rectum is referred to as a fissure, more particularly an anal fissure. It typically occurs in the posterior midline (back) of the anal canal. Fissures can be acute or chronic and often result from trauma or injury to the delicate anal tissues.

The following are various fissure treatments:

• Lateral Internal Sphincterotomy (LIS): For the purpose of relaxing the muscle and reducing pressure on the fissure, a small incision is created in the internal anal sphincter muscle. Decreasing muscular spasms improves recovery and aids in pain relief.
• Anal Fissurectomy: The fissure is surgically removed in this surgery. The goal is to get rid of unhealthy tissue while promoting the growth of new, healthy tissue.
• Anal Advancement Flap: This procedure is generally reserved for chronic or complex anal fissures. It entails covering the fissure with neighboring healthy tissue, which promotes healing and reduces discomfort.
• Neurectomy: A neurectomy is a surgical procedure to remove some of the nerves around the fissure. This operation is often used to treat persistent fissures that have not responded to previous treatments. By removing the nerve endings, the pain associated with the fissure is reduced.

The following situations call for Fissure Surgery:

• The lack of success from non-surgical procedures.
• Functional impairment is severe and has serious consequences for everyday living.
• Life is severely compromised by constant, severe pain.
• Unhealed fissures that have persisted for a long time.
• Continuously infected or bleeding fissures.
• Anal fistulas are present (abnormal connections between the anal canal and skin).
• Anal growths that may be malignant or precancerous.

Before undergoing an operation for a fissure, you may need to take several tests, including:

• Physical check-up: This involves a visual inspection of the anus and rectum to assess the fissure's severity and pinpoint its location.
• MRI scan: This non-invasive scanning method creates precise pictures of the inside structure of the body using a magnetic field and radio signals. It could be advantageous in gauging the fissure's size.
• CT scan: This diagnostic procedure produces comprehensive images of the body's inner architecture. It can help uncover any complications related to the fissure.
• CBC: Complete Blood Count, a test that measures the quantity and types of blood cells in your body. This test can identify potential underlying infections or blood disorders.
• LFT: A liver function test measures the amounts of certain proteins and enzymes in the blood. It's helpful in evaluating liver performance, particularly in individuals consuming medication.
• KFT: Kidney Function Test evaluates the levels of electrolytes and waste substances in your blood. It assists in assessing kidney performance, especially in individuals with potential underlying kidney disease.
• Urine R/M: A test that evaluates the chemical and physical characteristics of urine. It may reveal hidden infections as well as other problems.
• Lipid Profile: This blood test measures the levels of several kinds of triglycerides and cholesterol in your blood. It helps with risk assessment for cardiovascular disease.
• Thyroid Profile: This blood test gauges the concentration of thyroid hormones in your blood. It helps identify potential underlying thyroid conditions.
• Anti-HCV: A blood test that identifies antibodies against the hepatitis C virus. It's beneficial in recognizing individuals who might have been exposed to this virus.
• HBSAG: This blood test detects the surface antigen of the hepatitis B virus. It helps identify individuals who might have been exposed to this virus.

The surgical intervention for a fissure typically entails a series of carefully performed procedures aimed at rectifying the affected region and facilitating recovery. The following are the usual steps required in performing this operation:

• Administration of Anaesthetic: Prior to initiating the operation, an anesthetic is administered to the patient to numb the surgical site and eliminate any potential discomfort or pain during the procedure. The type of anesthetic used - local, general, or spinal - will depend on the specific requirements of the patient.
• Creating the Incision: After ensuring the anesthesia has effectively taken hold, a minor incision is made by the surgeon in the region surrounding the fissure. This incision paves the way for the surgeon to reach the compromised tissue and start the rectification process.
• Tissue Rectification/Extraction: The extent of the damage dictates whether the surgeon will repair or extract the tissue around the fissure. Severely damaged or infected tissue that is beyond salvage is typically removed. In cases where tissue repair is necessary, it involves reorienting and stitching the tissue to facilitate the healing process.
• Sealing the Wound: Following the rectification or removal of the tissue, the surgeon seals the incision using sutures or staples. This is essential to prevent potential infection and further foster the healing process.
• Post-Surgery Supervision: Following the operation, the patient's condition is closely monitored to detect any signs of complications or infections. Necessary pain relievers are provided, and the patient is briefed on how to manage the wound to expedite healing.

The benefits of undergoing a fissure operation include:

• Decreased discomfort and pain: The surgery for anal fissures can substantially diminish the associated discomfort and pain. This improvement can enhance your overall life quality, making daily tasks less painful.
• Enhanced functionality and mobility: Fissures in the anal region can hamper mobility and make certain tasks like walking, sitting, or exercising challenging. Undergoing surgery can restore your mobility and functional capabilities, enabling you to return to your regular activities without discomfort or pain.
• Minimized infection susceptibility: Anal fissures can heighten the risk of contracting infections, potentially leading to severe health issues. Surgical intervention can decrease this risk by excising the damaged tissue and encouraging healing.
• Enriched life quality: Coping with anal fissures can be demanding and can considerably affect your life quality. Surgery can significantly alleviate the discomfort and pain related to fissures, thereby enhancing your overall life experience.
• Swift recovery: The surgical treatment for fissures is considered to be minimally invasive and is normally carried out on an outpatient basis. This means that you will be able to return home on the same day as your surgery. This enables you to recuperate swiftly without necessitating a prolonged hospital stay.
• Improved bowel functioning: Fissures in the anal region can make bowel movements painful, potentially leading to constipation and other digestive issues. Surgery can alleviate this, resulting in improved bowel functioning and reduced constipation risk.
• Lasting relief: The surgery for anal fissures can offer enduring relief, decreasing the likelihood of recurrence and positively impacting your overall health and wellness.

Potential postoperative complications that might occur following a fissure surgery include:

• Discomfort and Pain: The surgical intervention may result in discomfort and pain in the treated region. Pain might linger for several days or even weeks post-surgery. Pain management medications might be necessary for some patients to alleviate this discomfort.
• Edema and Hematoma: After surgery, it's common to experience edema and hematoma in the area surrounding the surgical site. These conditions usually diminish within a few days post-surgery. Swelling and bruising can be mitigated by elevating the affected area and using ice packs.
• Infection: Any surgical intervention, including fissure surgery, carries the risk of infection. Symptoms of infection encompass fever, redness, increased warmth, and intensified pain around the surgical area. Antibiotics might be prescribed if an infection occurs.
• Hemorrhage: Haemorrhage is another potential complication of fissure surgery. It may happen either during or after the surgical procedure. It's common for patients to observe minor bleeding or discharge, but any persistent or excessive bleeding should be reported to the surgeon promptly.

The duration of recovery post-fissure treatment is variable, contingent on the nature of the procedure performed and individual patient characteristics. Typically, within a few weeks after treatment, most individuals feel recovered enough to resume their standard routines.

Several practices can assist in speeding up the recovery process:

• Rest and Minimise Physical Exertion: Proper rest is key to successful healing post-fissure treatment. Avoid strenuous activities like extensive standing or sitting, lifting heavy objects, and intensive exercises for a few weeks. This resting period will grant your body the necessary time for recuperation and healing.
• Utilise Heat or Cold Therapy for Pain and Swelling Management: If you're grappling with pain or swelling post-treatment, applying heat or cold to the affected area can offer relief. A cold pack or ice can mitigate pain and swelling, whereas a heat source like a hot water bottle can alleviate pain.
• Adhere to a Healthcare Professional's Recommended Rehabilitation Plan: In cases where you've undergone surgery or any invasive fissure treatment, a rehabilitation regimen will likely be advised by your healthcare practitioner. This could comprise exercises, stretches, and other therapeutic measures to facilitate the healing process.
• Adopt a Nutritious Diet: A diet abundant in fiber can aid in the recovery process and stave off constipation, which can exacerbate the issue. Incorporate fiber-rich foods like fruits, vegetables, and whole grains in your diet, and steer clear of spicy, fried, and processed foods that might irritate your digestive system.
• Maintain Hygiene in the Treated Area: It's crucial to keep the treated area clean after fissure treatment to ward off infections. After each bowel movement, gently wipe the region with water and gentle soap.
• Avoid Forceful Straining During Bowel Movements: Constipation is a prevalent issue post-fissure treatment. Avoid forceful straining during bowel movements by hydrating sufficiently or using a stool softener.
• Regular Follow-Ups with Your Healthcare Provider: Ensuring regular follow-ups with your healthcare provider is vital after fissure treatment. Because of this, they will be able to monitor your progress in recovery and make any required adjustments to the treatment plan.