If you have a chronic anal fissure that has not responded to previous therapies or if your fissure symptoms are severe, your fissure doctor can recommend surgery.
In order to ease spasms and speed up healing, fissure doctors frequently perform a lateral internal sphincterotomy (LIS) procedure that involves slicing a small portion of the anal sphincter muscle. Studies show that fissure surgery is by far the most effective treatment for persistent fissures.
Open fissure Surgery: By creating a small incision in the anal sphincter, anorectal surgeons perform open surgery to relax the anal muscle. Once the muscle is released, the anal fissure will mend. Persistent incontinence is one of the most common risks and adverse effects of open anal fissure surgery, which is a popular therapeutic option.
Laser fissure Surgery: A local or general anaesthetic is given to the patient before laser fissure surgery by the fissure specialist. The surgeon uses a laser probe to produce infrared radiation or laser beams at the operation site which is the anal fissure location. By enhancing blood flow to the area of the fissure, the high-energy laser beams promote quick and proper healing.
Sphincterotomy is a surgery which involves cutting the sphincter muscle with a highly accurate laser beam. This lessens the stress on the fissure and promotes the healing of the injured area. The method is easy to use and heals properly. Physicians recommend lateral sphincterotomy as the most popular fissure surgery. It is the least invasive and most painless fissure surgery procedure.