Anal fissures can be caused by various reasons like chronic diarrhea, chronic constipation, injuries, and underlying conditions like Crohn’s disease, anal cancer, STDs, etc.
There are 2 main types of Anal Fissure:
Acute
In this type of anal fissure, the tear looks like a paper cut and is more surface-level and can be treated with topical ointments, medications, a high fiber diet, and home treatments like sitz bath.
Chronic
In chronic anal fissure, the fissure has a deeper tear accompanied by internal and external growths. If a fissure lasts more than 2 months, it is considered chronic. These types of fissures are better treated with surgery.
Anal Fissure Diagnosis
Lotus Hospital proctologists are highly experienced and may diagnose an anal fissure with a physical examination. However, the doctor may prescribe additional tests to diagnose the condition correctly and rule out complications. The standard diagnostic tests for anal fissures include Sigmoidoscopy, Anoscopy, and Colonoscopy.
Anal Fissure Treatment
Laser-assisted surgery is one of the most effective treatments for chronic anal fissures. During this procedure, the patient is first administered general or local anesthesia. Then, once he is asleep, the surgeon uses the laser probe that emits laser radiation to heal the tears in the mucosa. This treatment is a daycare procedure, and the patient can go home the same day unless the doctor advises otherwise.
How to Prepare For Laser Anal Fissure Surgery?
While preparing for the surgery, it is essential to follow all instructions given by your doctor to ensure that your recovery process is on track.
Let your doctor know in advance if you’re allergic to any medications.
Avoid heavy meals the night before the surgery.
Eat a light meal on the day of the surgery. Avoid heavy foods that are high in fats and carbs.
The recovery process after the anal fissure laser surgery varies for different individuals. It may take 30 to 45 days to recover from an anal fissure laser surgery completely. Therefore, in your first month of recovery, you must ensure the following:
Avoid lifting heavy weights as that adds additional strain to the surgical site.
Eat meals that are nutritious and high in fiber content. Avoid oily and fried foods.
To ensure you are hydrated, drink at least 8-10 glasses of water every day.
Do not strain yourself during your bowel movement.
If your bowel movements are hard, consider taking stool softeners to alleviate the strain (only after consulting the doctor).
Be diligent about taking medications and applying ointments/creams prescribed by your doctor.
The following are the benefits of laser surgery for anal fissure treatment.
Minimal Bleeding & Pain : There is minimal blood loss during laser surgery and reduced pain post-surgery since the laser only targets a specific area.
Improved Precision : Laser surgery imparts precision by targeting smaller areas without damaging the surrounding tissues.
Day Care Surgery : Anal fissure laser surgery is a day care surgery, i.e., you will be discharged the same day unless the doctor deems otherwise.
Shorter Recovery Time : Since it is a minimally invasive procedure, the recovery time is much lesser.
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