Fissure Surgery in Thane: Chronic Anal Fissure Management
Relief from Pain, Healing & Improved Quality of Life
Advanced Proctology & Surgical Care in Thane – By Dr. Ankur Bhanushali
General, Laparoscopic, Laser & Daycare Surgery Specialist
What Is a Chronic Anal Fissure?
A chronic anal fissure is a tear in the lining of the anal canal that persists for more than 6 weeks:
✔ Often associated with spasm of the anal sphincter
✔ Can cause severe pain during bowel movements
✔ May lead to bleeding and discomfort
Prompt treatment prevents complications and improves healing.
Why Timely Fissure Treatment Is Important
Untreated fissures can result in:
❌ Persistent pain and bleeding
❌ Secondary infections
❌ Anal sphincter spasm and chronicity
❌ Formation of sentinel skin tags or ulcers
Early intervention ensures faster healing and symptom relief.
Symptoms of Chronic Anal Fissures
Patients may experience:
✔ Sharp, severe pain during or after bowel movements
✔ Blood streaks on stool or toilet paper
✔ Burning sensation or itching
✔ Swelling or skin tags near the fissure
✔ Difficulty with bowel movements
Recognizing symptoms early ensures timely treatment.
Causes & Risk Factors
Fissures may develop due to:
✔ Constipation and straining
✔ Diarrhea
✔ Trauma during bowel movements
✔ Childbirth or anal procedures
✔ Poor anal hygiene
Lifestyle and bowel habits play a key role in prevention.
Diagnosis of Chronic Fissures
Accurate diagnosis involves:
✔ Physical examination
✔ Digital rectal examination
✔ Anoscopy for better visualization
✔ Assessment for secondary causes like Crohn’s disease
Proper evaluation ensures precise treatment planning.
Non-Surgical Management of Fissures
Conservative treatment may include:
✔ High-fiber diet and adequate hydration
✔ Stool softeners
✔ Sitz baths for pain relief
✔ Topical nitroglycerin or calcium channel blockers
✔ Botox injection for sphincter relaxation
Early intervention can prevent the need for surgery in some cases.
Indications for Fissure Surgery
Surgery is recommended when:
✔ Fissures persist beyond 6–8 weeks
✔ Severe, unrelenting pain
✔ Failed conservative or medical therapy
✔ Secondary infections or chronic changes
Modern surgical techniques ensure effective treatment.
Types of Fissure Surgery
Surgical options include:
✔ Lateral Internal Sphincterotomy (LIS) – Gold standard for chronic fissures
✔ Fissurectomy – Removal of scar tissue and fissure edge
✔ Laser Fissure Surgery – Minimally invasive ablation
✔ Advancement Flap Surgery – For complex or recurrent fissures
Choice depends on severity, location, and patient-specific factors.
Laser Fissure Surgery Procedure
Laser surgery involves:
✔ Precise removal or ablation of fissure tissue
✔ Minimal trauma to surrounding sphincter muscles
✔ Reduced postoperative pain
✔ Faster healing and recovery
Laser treatment offers outpatient convenience with high success rates.
Advantages of Modern Fissure Surgery
✔ Minimally invasive and precise
✔ Reduced postoperative pain
✔ Faster healing
✔ Lower risk of incontinence
✔ Effective for chronic and recurrent fissures
Modern techniques prioritize comfort and safety.
Preoperative Preparation for Fissure Surgery
Preparation includes:
✔ Blood tests and stool examination
✔ Anesthesia assessment
✔ Bowel preparation if required
✔ Patient counseling regarding procedure and postoperative care
Proper preparation ensures smooth surgery.
Anesthesia & Pain Management
✔ Local, regional, or general anesthesia depending on procedure
✔ Postoperative analgesics for comfort
✔ Laser and minimally invasive approaches reduce overall pain
Pain management is key for early mobilization and recovery.
Postoperative Care & Recovery
After fissure surgery:
✔ Sitz baths for hygiene and comfort
✔ Adequate hydration and fiber intake
✔ Pain management
✔ Monitoring for bleeding or infection
✔ Gradual return to normal bowel habits
Proper care ensures optimal healing and prevents recurrence.
Potential Risks & Complications
Although safe, possible complications include:
❌ Bleeding
❌ Infection
❌ Recurrence
❌ Mild incontinence (rare)
❌ Delayed wound healing
Timely follow-up ensures safety and success.
Daycare & Outpatient Fissure Surgery
Many laser and minimally invasive procedures can be done as daycare:
✔ Short hospital stay
✔ Early discharge
✔ Minimal disruption to daily life
Convenience with effective outcomes.
Multidisciplinary Approach in Fissure Surgery
Successful outcomes require:
✔ Experienced proctology surgeons
✔ Skilled anesthesia team
✔ Nursing support for postoperative care
✔ Imaging support for complex cases
Team coordination ensures precision and safety.
NABH Guidelines for Fissure Surgery
Standards emphasize:
✔ Sterile surgical protocols
✔ Continuous monitoring and documentation
✔ Staff training and competency
✔ Quality audits and patient safety measures
Adherence ensures consistent excellence.
Fissure Surgery at Aayush Multispeciality Hospital
The hospital provides:
✔ Advanced laser and minimally invasive techniques
✔ Experienced surgical team
✔ NABH-standard protocols
✔ Postoperative monitoring and patient education
Safe, effective, and patient-friendly care.
Why Dr. Ankur Bhanushali Focuses on Fissure Surgery
✔ Faster relief from chronic pain
✔ Reduced recurrence rate
✔ Patient-centered care
✔ High success rates
Precision care ensures optimal outcomes.
Benefits of Modern Fissure Surgery
✔ Effective closure of chronic fissures
✔ Minimal postoperative pain
✔ Faster return to normal activities
✔ Lower recurrence risk
✔ Advanced minimally invasive options
Modern surgical techniques redefine proctology care.
Aayush Multispeciality Hospital – Full Address
📍 1st Floor, Marigold Apartment
Almeda Road, Panch Pakhdi,
Thane West – 400602,
Maharashtra, India
📞 +91 86910 33033
🌐 https://drankurbhanushali.com
📍 Google Maps: https://maps.app.goo.gl/3Msc7YZqVkV9mQMQ7
