✦ ANAL FISSURE · SURGICAL · DAY-CARE

Fissurectomy

Q: Why is fissurectomy combined with sphincterotomy?

Fissurectomy removes the visible diseased tissue but does not address the elevated sphincter tone. Adding LIS normalises sphincter pressure, significantly accelerating healing.

Q: Will fissurectomy affect my bowel control?

Risk of incontinence is less than 1% when only the lower internal sphincter portion is divided. The external sphincter is not touched.

Q: How long before the fissurectomy wound heals?

The wound heals by secondary intention over 4–6 weeks. Patients notice significant pain relief within 24–48 hours.

Surgical excision of the chronic anal fissure and sentinel skin tag — combined with sphincterotomy for complete cure.

20–30 Min TREATMENT DURATION

Day Care CARE SETTING

Surgical APPROACH

3–5 Days RECOVERY TIMELINE

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

20–30 MinTREATMENT DURATION

Day CareCARE SETTING

SurgicalAPPROACH

3–5 DaysRECOVERY TIMELINE

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

Common Questions

Frequently Asked Questions

Why is fissurectomy combined with sphincterotomy?+

Will fissurectomy affect my bowel control?+

How long before the fissurectomy wound heals?+

Not sure which treatment is right for you?

Book a consultation with Dr. Tagore Grandhi and get a personalised treatment plan.

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