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The most advanced laser,stapler and other minimal invasive treatment in pile,fissure,Fistula

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What are fissures?

  • Medical (Anal Fissures): In the medical context, fissures commonly refer to small tears or cracks in the lining of the anus. These can cause pain and bleeding during bowel movements. Anal fissures are often caused by passing large or hard stools and can be associated with conditions like constipation or diarrhea.

  • Geological: In geology, fissures are long, narrow cracks or openings in the earth’s surface. These can occur as a result of tectonic activity, volcanic activity, or the natural process of rock formation and erosion. Fissures in the earth can sometimes release gases or lava.

  • Anatomical: In anatomy, fissures can also refer to deep grooves or clefts in an organ or tissue. For example, the brain has several fissures (like the longitudinal fissure that divides the two cerebral hemispheres) that separate different parts and regions.

  • General: More broadly, a fissure can be any narrow, elongated opening or crack in a surface. This term can apply to a variety of contexts where such features are present.

  • Anal fissures develop at the front or the on the back side. There are two types of anal fissures:
    • Acute fissures: Abruptly appearing cracks
    • Chronic fissures: Slowly developing cuts or cracks

What are the most common symptoms of fissures?

  • The symptoms of fissures can vary depending on the type, but here are the most common symptoms associated with anal fissures, which are the most frequently discussed type in a medical context:

    1. Pain During Bowel Movements: A sharp, intense pain during and after passing stools is the most common symptom. The pain can last from a few minutes to several hours.

    2. Visible Tear: Sometimes, a small tear or crack can be seen in the skin around the anus.

    3. Bleeding: Bright red blood on the stool or toilet paper after a bowel movement is a typical symptom. The bleeding is usually minimal.

    4. Itching or Irritation: There may be persistent itching or irritation around the anus.

    5. Spasms: The internal anal sphincter muscle may spasm, causing further pain and discomfort.

    6. Discomfort or Burning Sensation: There might be a burning sensation around the anus.

Causes of fissures

  • Anal Fissures

    1. Constipation: Passing large or hard stools can cause tears in the anal lining.
    2. Diarrhea: Frequent bowel movements with loose stools can irritate and tear the anal lining.
    3. Straining During Bowel Movements: Excessive straining can increase the risk of tearing the tissue.
    4. Childbirth: The strain and pressure during childbirth can lead to fissures.
    5. Inflammatory Bowel Diseases: Conditions like Crohn’s disease can cause chronic inflammation and increase the risk of fissures.
    6. Anal Intercourse: This can sometimes cause tears in the anal lining.
    7. Reduced Blood Flow: Conditions that reduce blood flow to the area, such as chronic constipation or certain medical conditions, can make the tissue more prone to tearing.
    8. Infections or Trauma: Bacterial, fungal, or viral infections, as well as direct trauma to the area, can lead to fissures.

Treatments for Fissure

  • When it comes to treating fissures, there are two ways to go about it:
    1.    Non-operative
    2.    Operative
    The non-operative methods of treating fissures include home remedies or medication prescribed by the doctors. Usually, this is the first step to treat fissure and evaluate the severity of the condition. Some of the non-operative methods include:
    1.     Stool softeners or stool thinners
    2.     Increase water intake and fibre-rich diet
    3.     Warm water wash for pain relief and improved water flow
    4.     Topical treatment such as creams to the anus to enhance blood flow
    5.     Injectable agents to inhibit cracks formed in the anus
    However, sometimes the fissures are too severe to be cured by non-operative methods. In such situations, surgery remains the last option. But, surgery is no longer a matter of worry. Bandal Hospital uses the latest laser technology and equipment to treat fissures in the most minimal manner. This technique is called the Laser Sphincterotomy.

Laser Sphincterotomy for treating fissures

  • The non-operative methods of treating fissures include home remedies or medication prescribed by the doctors. Usually, this is the first step to treat fissure and evaluate the severity of the condition. Some of the non-operative methods include:
    Performed under LA or GA, laser sphincterotomy involves the surgeon making a tiny incision in the internal anal sphincter to release the tension on the sphincter. The surgeon then inserts the laser diode in the incision. The laser diode emits laser energy in a radial fashion leading to the dilation of the muscle and reduction of spasm.
    The procedure is bloodless, painless and results in the quick recovery. You may even walk back to your regular routine after the procedure.
    Other advantages of the treatments include:
    •   High success rate
    •   Low recurrence rate
    •   Quick procedure
    •   Minimally invasive
    •   Minimal blood loss and minimal pain
    •   Instant relief from the symptoms
    •   Outpatient procedure performed under anaesthesia
    •   Quick recovery (1 to 3 days)
    •   Surgically precise

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