ABOUT FISSURE SURGERY (FISSURECTOMY):
Surgical treatment may be advised if desired relief is not obtained through non-surgical options. The surgical treatment options are Anal/Sphincter dilatation (tight internal anal sphincter is stretched), lateral internal sphincterotomy (preferred method nowadays where division of internal sphincter fibres is done to relieve the sphincter spasm), fissurectomy (excision of fissure from the anal canal along with the surrounding tissue, with wound being left open without suturing, taking long time to heal), and Anal advancement flap (tissue from another part of body is used to repair the fissure and improve blood supply). This is done under spinal or general anaesthesia by a General surgeon.
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GENERAL SURGERY
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