What is Anal Fissure?

• Associate degree anal fissure could be a tiny tear or cut within the skin at the anal gap.

• Fissures typically cause pain and often bleed.

• Fissures area unit quite common, however, area unit usually confused with alternative causes of pain and trauma, like hemorrhoids.

• Most fissures occur on the mid-line – the highest or bottom-of-the orifice.

• The everyday symptoms of associate degree anal fissure area unit pain throughout or once voiding and contemporary trauma. Dr.P S Lubana cures as Fissure Surgeon in Indore.

• Most ordinarily thanks to a tough, dry bowel movement. Many women during childbirth develop an anal fissure

• Alternative causes of the anal fissure are digital insertion (during the examination), foreign body insertion, or anal intercourse.

• The principle of treating associate degree anal fissure is relieving the anal spasm and correcting constipation. At least fifty p.c of anal fissures heal by medical management alone, rest require surgical treatment.

• Chemical Internal Sphincterotomy (CIS) and Lateral Internal Sphincterotomy (LIS) area unit the 2 best normal surgical treatments for anal fissure.

• Lateral Internal Sphincterotomy (LIS) is that the best normal surgical treatments for anal fissure.

What is Medical Management of Anal Fissure?

• Medical management will treat virtually half the cases of chronic anal fissures.

• A 0.2% nitrate cream is prescribed to be applied reducing the pressure within the internal anal muscle (sphincter) and therefore permitting the fissure to heal.

• The Ca channel blockers calcium-channel blocker and calcium blocker conjointly has celebrated healing result. It conjointly works by reducing the pressure within the internal sphincter.

• Botox once injected within the internal muscle causes temporary palsy of muscle, that reduces muscle tension and helps the anal fissure heal.

• Chemical Internal Sphincterotomy (CIS) could be a minimally invasive approach to relax the anal muscle. This is achieved by partially paralyzing the muscles by injecting chemicals into the anal sphincter muscle.

Advantages of Medical Management of Anal Fissure

• this could be simply used because of the 1st line of treatment for anal fissures.

• it's effective and has a smart success rate.

• doesn't have an effect on the practicality of muscle./p>

Disadvantages of Medical Management of Anal Fissure

•The substances used for medical control, whether in form of gel or pills have any known side results.

• The medical management isn't deemed acceptable acute cases.

• There are chances of re-occurrences of anal fissure.

What is Lateral Internal Sphincterotomy (LIS)?

• his Surgery typically consists of a little operation to divide a little of the inner sphincter muscle (a lateral internal sphincterotomy).

• This helps the fissure heal and reduces pain and spasm.

• In cases, if a lookout pile is a gift, it too may be removed to promote healing of the fissure.

Advantages of Lateral Internal Sphincterotomy (LIS)

• it's a fast surgery and may even be performed as a brief patient procedure.

• No facet result as just in case of medical management.

• Least or virtually no possibilities of re-occurrence of anal fissure.

Disadvantages of Lateral Internal Sphincterotomy (LIS)

• There area unit cases wherever LIS has been a celebrated reason to have an effect on incontinence.

• • Moreover, in contrast to the other treatment for anal fissure, LIS ought to be accompanied with correct style changes and correct diet programme.cancer has progressed

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