Sphincterotomy for anal fissure

You should also talk to your doctor about your medications, herbs, and dietary supplements. Self-help There are a number of self-help measures your GP may recommend to relieve constipation and reduce the pain caused by anal fissures. Download citation. In: StatPearls. Reviewing articles is no less a pain staking process and requires in depth perception, knowledge about the topic for review. Release forms will need to be signed before the preparation for the procedure can begin. JCDR is published bimonthly and the accepted articles were usually published in the next issue.

Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Taking care to follow instructions about diet, activity level, and fluid intake, as well as any other directions the surgeon gives will help the process of healing. Risks and Contraindications. Was this page helpful? Sphincterotomy is considered the gold standard for treating chronic anal fissures, and the success rate is usually reported as being about or greater than 95 percent, depending on the study. In the open surgery, an anoscope is inserted into the anal sphincter to see the muscles and the fissure, and the incision is made. Fissures are most often caused by passing a hard stool which could be but is not always associated with being constipated.

Sign up and get yours now! It may be done under local or general anesthetic. Methods: Charts of patients with chronic anal fissure who underwent internal sphincterotomy as a single procedure over five years by a group of 12 colorectal surgeons were reviewed. Beaty JS, Shashidharan M. Nelson RL.