About Fissurectomy
Key Highlights
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Definitive treatment for chronic anal fissures unresponsive to medication.Directly removes the non-healing tear and scar tissue.Often provides immediate relief from severe anal pain.Typically performed as a day-care or short-stay procedure.High success rate in promoting complete healing.Can be combined with sphincterotomy for better outcomes./ul
Who is this surgery for?
- Chronic anal fissure persisting for more than 6-8 weeks.
- Failure of conservative management (e.g., stool softeners, topical nitrates, calcium channel blockers).
- Fissure associated with a sentinel pile (skin tag) or hypertrophied anal papilla.
- Severe pain that interferes with daily activities.
- Recurrent bleeding from the fissure.
- Fissure with significant underlying sphincter spasm.
How to prepare
- Complete pre-anesthetic check-up including blood tests and ECG.
- Bowel preparation may be advised, such as an enema on the morning of surgery.
- Fasting for 6-8 hours before the procedure as per anesthesia guidelines.
- Disclosure of all current medications, especially blood thinners (to be stopped as advised).
- Arranging for transportation and post-operative care at home.
- Discussion with the surgeon about the procedure, risks, and expected outcomes.
Risks & possible complications
- Bleeding from the surgical site.
- Infection in the anal area.
- Pain or discomfort, especially during bowel movements.
- Temporary difficulty controlling gas or stool (flatus incontinence).
- Rare risk of anal stenosis (narrowing) if healing is excessive.
- Small chance of fissure recurrence.
- Risks associated with anesthesia (e.g., nausea, allergic reaction).
Recovery & hospital stay
- Pain is managed with prescribed analgesics and sitz baths (warm water soaks) 2-3 times daily.
- Diet should be high in fiber and fluids to prevent constipation and straining.
- Stool softeners are often prescribed for the first 1-2 weeks.
- Avoid strenuous activity, heavy lifting, and prolonged sitting for 1-2 weeks.
- Keep the anal area clean and dry; pat gently after bathing.
- Follow-up with the surgeon as scheduled to monitor healing.
- Most patients can return to sedentary work within a few days to a week.
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Typical hospital stay: 0-1 days (typically day-care)
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Expected recovery time: 2-4 weeks for full healing
Frequently Asked Questions
If you are considering fissurectomy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for fissurectomy in India include Kamineni Hospital, Tadigadapa, Manipal Hospital Bhubaneswar, Manipal Hospital Mukundapur, Manipal Hospital Dhakuria, Manipal Hospital Malleshwaram, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform fissurectomy. MediFyr helps you compare general surgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for fissurectomy compare across other countries where we have data.
Top hospitals for Fissurectomy in India
These partner hospitals in India have dedicated general surgery teams and experience managing patients undergoing fissurectomy.
Krishna Khan, a 42-year-old single mother...
Krishna Khan, a 42-year-old single mother and elementary school teacher, had been suffering for over a year. Her initial symptoms were sharp, burning pain during and after bowel movements, which she attributed to stress and poor diet. As the pain intensified, she noticed small amounts of bright red blood on the toilet paper. The pain became so severe it would last for hours, making it difficult for her to sit through parent-teacher conferences or play with her young son. She tried over-the-counter creams, sitz baths, and high-fiber diets with only temporary relief. Her primary care doctor referred her to a general surgeon, Dr. Sharma, who diagnosed a chronic anal fissure that had failed conservative management. Dr. Sharma explained that a fissurectomy, a minor procedure to remove the scarred tissue of the fissure, would allow healthy tissue to heal. Krishna was terrified of surgery and the potential for complications, but the constant pain was eroding her quality of life. The procedure itself, under local anesthesia, was quick. The recovery involved manageable soreness, strict hygiene, and stool softeners. Within three weeks, the excruciating pain was gone. Krishna felt a profound sense of relief and regained freedom. The emotional journey was from constant, hidden agony and fear to liberation and the ability to fully engage in her life and motherhood again.
General surgeons for Fissurectomy
Explore experienced general surgeons who regularly perform fissurectomy and provide pre- and post-operative care in India.
- 31 Years Experience
- General surgeon
Miot Hospital Chennai, Chennai
- 18 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 18 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 15 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 11 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 27 Years Experience
- General surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 24 Years Experience
- General surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 13 Years Experience
- General surgeon
- 16 Years Experience
- General surgeon
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- General surgeon
Manipal Hospital Whitefield, Bangalore
- 37 Years Experience
- General surgeon
Manipal Hospital Old Airport Road, Bangalore
- 26 Years Experience
- General surgeon
Manipal Hospital Old Airport Road, Bangalore
- 41 Years Experience
- General surgeon
Manipal Hospital Patiala, Patiala
- 11 Years Experience
- General surgeon
Manipal Hospital Patiala, Patiala
- 10 Years Experience
- General surgeon
Manipal Hospital Patiala, Patiala
- 18 Years Experience
- General surgeon
Manipal Hospital Mysore, Mysore
- 39 Years Experience
- General surgeon
Manipal Hospital Malleshwaram, Bangalore
- 37 Years Experience
- General surgeon
Manipal Hospital Malleshwaram, Bangalore
- 35 Years Experience
- General surgeon
Manipal Hospital Malleshwaram, Bangalore