Meddcodicovered

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Fissure in Ano with Internal sphincterotomy with
fissurectomy
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Index

• Introduction
• Symptoms
• Causes
• Treatment
• Recovery
• About Meddco

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Introduction

• An anal fissure is defined as a longitudinal
  split in the distal anoderm which extends from
  the anal verge to the dentate line. Fissures can
  be of primary or secondary type. The posterior
  midline is the most common location for primary
  fissures, while, anterior primary fissures,
  though rare, are more common in females. The
  cause of primary fissure is idiopathic. But
  secondary fissures are associated with other
  systemic diseases and can occur at an abnormal
  position anywhere in the anoderm. A high
  percentage of acute fissures heal spontaneously
  within three weeks with conservative medical
  management comprising of a high fiber diet, warm
  sitz bath, and topical analgesic with steroids.
  Secondary anal fissures will not heal in any form
  of treatment until the primary cause is
  addressed. These fissures often need surgical
  treatment. The lateral internal sphincterotomy
  (LIS) is one of the most practiced treatments for
  chronic anal fissure. Nonetheless, anal
  incontinence is one of the worrisome
  complications of LIS. Fissurectomy is one of the
  options among those techniques which address the
  issues with LIS. Some studies showed that
  patients with chronic fissures who are refractory
  to medical treatment responded well to
  fissurectomy. Hence, this study was conducted to
  compare the outcomes of fissurectomy and lateral
  internal sphincterotomy in the treatment of
  chronic anal fissure and compare recurrence and
  postoperative complications among both the
  procedures.

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Symptoms

• Anal fissures are very common in young infants
  but can affect people of any age. Most anal
  fissures get better with simple treatments, such
  as increased fiber intake or sitz baths. Some
  people with anal fissures may need medication or,
  occasionally, surgery.
• The clinical hallmark of an anal fissure is pain
  during, and particularly after, defecation. In
  acute fissures, pain may be short-lived, but it
  can last several hours or even all day in the
  presence of a chronic fissure. The pain is
  frequently described as passing razor blades or
  glass shards. Understandably, patients with anal
  fissures may often fear bowel movements. Rectal
  bleeding, although not uncommon, is usually
  limited to minimal bright red blood seen on the
  toilet tissue.

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Causes

• Common causes of anal fissure include
• Passing large or hard stools
• Constipation and straining during bowel movements
• Chronic diarrhea
• Anal intercourse
• Childbirth
• Less common causes of anal fissures include
• Crohn's disease or another inflammatory bowel
  disease
• Anal cancer
• HIV
• Tuberculosis
• Syphilis

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Treatment

• If you have a chronic anal fissure that is
  resistant to other treatments, or if your
  symptoms are severe, your doctor may recommend
  surgery. Doctors usually perform a procedure
  called lateral internal sphincterotomy (LIS),
  which involves cutting a small portion of the
  anal sphincter muscle to reduce spasm and pain,
  and promote healing.

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Recovery

• Get plenty of rest.
• Try to walk a little each day.
• Follow your doctors instructions as to when you
  can drive again.
• Shower or bathe as normal, but pat your anal area
  dry afterward.
• Drink plenty of fluids.
• Eat a high-fiber diet.
• If you are struggling with constipation, ask your
  doctor about taking a mild laxative or stool
  softener.
• Take your pain medications exactly as described.

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About Meddco

• ?Compare prices of Surgical , Diagnostics test
  and other Health care services more than 16000
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• ?You can find Packages for Fissure in Ano with
  Internal sphincterotomy with fissurectomy on our
  website

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