Fissurectomy
Surgical excision of the chronic anal fissure and sentinel skin tag — combined with sphincterotomy for complete cure.
What is Fissurectomy?
Fissurectomy is the surgical excision of the chronic anal fissure, including the fibrous base, sentinel skin tag, and hypertrophied anal papilla. It is typically combined with lateral internal sphincterotomy to address both the diseased tissue and the elevated sphincter tone preventing healing.
Dr. Tagore Mohan Grandhi performs fissurectomy as a day surgery procedure under local or general anaesthesia. The combination of tissue excision and sphincterotomy provides the highest healing rate for complex chronic fissures.
Suitable for patients with chronic anal fissure that has failed topical and Botox treatment — particularly complex fissures with a prominent sentinel tag, large fibrotic base, or hypertrophied papilla.
How the Procedure Works
Anaesthesia
Short general or spinal anaesthesia with local anaesthetic supplementation for post-operative analgesia.
Fissure Identification
Chronic fissure, sentinel skin tag, and hypertrophied papilla identified. Extent of excision planned under anaesthesia.
Fissure Excision
Chronic fissure, sentinel tag, and fibrous base excised using diathermy. Wounds left open to heal by secondary intention.
Sphincterotomy Addition
Lateral internal sphincterotomy added to normalise sphincter pressure and improve blood flow to the excision site.
Wound Healing
Healing by secondary intention over 4–6 weeks. Sitz baths twice daily and a high-fibre diet maintained throughout.
Outcomes
Who Needs This Treatment?
- →Removes entire chronic fissure with its fibrotic, non-healing tissue
- →Eliminates sentinel skin tag causing hygiene problems and perianal discomfort
- →Combined with LIS provides highest healing rate for complex chronic fissures
- →Day surgery — no hospital admission required
Fissurectomy combined with sphincterotomy is our treatment of choice for complex chronic fissures with a large fibrotic base or sentinel tag. Removing the diseased tissue and relieving the spasm together give the best healing results.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Fissurectomy Cost in Hyderabad
The cost of Fissurectomy in Hyderabad depends on factors such as the chronicity of the fissure, presence of associated skin tags, surgical requirements, and post-operative care.
For patients with chronic anal fissure associated with a sentinel tag, the approximate cost of Fissurectomy ranges between ₹25,000 and ₹50,000.
| Procedure | Approximate Cost Range |
|---|---|
| Fissurectomy | ₹25,000 – ₹50,000 |
The final cost may vary depending on your individual condition, examination findings, hospital stay, and additional procedures required.
Factors That Influence Fissurectomy Cost
The overall cost may depend on:
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Type of fissure: Chronic fissures with persistent symptoms or associated skin tags may require surgical removal.
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Pre-operative assessment: Clinical evaluation, examination, and required medical investigations may affect the overall treatment cost.
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Procedure requirements: Anaesthesia, surgical technique, hospital care, and post-procedure monitoring can influence the final estimate.
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Post-operative care: Medications, dietary recommendations, pain management, and follow-up visits may contribute to the overall cost.
Is Fissurectomy Covered by Insurance?
Fissurectomy may be covered by health insurance when performed for a medically indicated condition. Coverage depends on your insurance policy, inclusions, and insurer approval process.
Our insurance support team can assist you with checking policy coverage, required documentation, cashless approval process, and insurance-related queries.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tagore Grandhi
Orthopaedic & Joint Replacement Surgeon
During consultation, Dr. Samhitha Reddy, Proctologist at Lux Hospitals, will evaluate your fissure symptoms, examination findings, and associated conditions to determine the appropriate treatment option. She will explain the procedure, recovery process, and provide a personalised cost estimate based on your treatment needs.
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Not sure which treatment is right for you?
Book a consultation with Dr. Tagore Grandhi and get a personalised treatment plan.