Fissurectomy
Surgical excision of the fibrotic chronic anal fissure tissue - removing the non-healing scar to create the conditions necessary for fresh healing. Often combined with LIS for comprehensive chronic fissure management at Lux Hospitals, Hyderabad.
What is Fissurectomy?
Fissurectomy is the surgical excision of a chronic anal fissure - removing the indurated, fibrotic fissure edges, the non-healing scar tissue, and any associated hypertrophied anal papilla or sentinel skin tag. By excising the fibrous tissue that has prevented healing, the wound is converted into an acute vascular defect that can heal properly.
Dr. Samhitha Reddy, an experienced fissure doctor in Hyderabad, performs fissurectomy at Lux Hospitals - typically combined with Lateral Internal Sphincterotomy (LIS) for chronic fissures, as the combination addresses both the structural scar tissue and the underlying sphincter hypertonia that prevented natural healing. It is an important component of the laser fissure treatment in Hyderabad pathway.
Fissurectomy is performed for chronic anal fissures with indurated, fibrotic, or hypertrophied edges. Most often combined with LIS. For fissures in low-pressure scenarios (e.g. postpartum), it may be performed alone without sphincterotomy.
How the Procedure Works
Pre-operative Assessment
Dr. Samhitha examines the fissure, assesses chronicity, sphincter pressure, and determines whether fissurectomy alone or fissurectomy + LIS is appropriate.
Anaesthesia
Short spinal or general anaesthesia. Patient positioned in lithotomy.
Fissure Excision
The fibrotic fissure edges, indurated base, hypertrophied papilla, and sentinel tag are excised using electrocautery or scalpel - creating clean, healthy wound margins.
LIS (Combined Procedure)
If internal sphincter hypertonia is present, a Lateral Internal Sphincterotomy is performed simultaneously through the same or a separate lateral incision.
Wound Management
The fissure wound is left open to heal by secondary intention. Sitz baths, high-fibre diet, and stool softeners prescribed for 4–6 weeks until complete healing.
Outcomes
Who Needs This Treatment?
- →Removes all fibrotic non-healing tissue - creates conditions necessary for fresh healing
- →Eliminates associated hypertrophied papilla and sentinel tag in the same procedure
- →Combined with LIS - addresses both structural and physiological causes simultaneously
- →Day-care procedure at Lux Hospitals, Hyderabad - no hospital admission
- →Most patients feel better within 48–72 hours of surgery
- →Covered by most health insurance providers
Fissurectomy refreshes the non-healing chronic wound - it removes the fibrotic tissue that has become an obstacle to recovery and replaces it with a clean vascular wound bed. Combined with LIS, it provides a comprehensive solution that addresses every aspect of chronic fissure disease.
— Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Fissurectomy Surgery Cost in Hyderabad
The cost of fissurectomy surgery in Hyderabad depends on the severity of the anal fissure, the presence of associated conditions such as a sentinel tag, the investigations required, and the care needed before and after surgery.
For patients with chronic anal fissure with a sentinel tag, the approximate cost of fissurectomy ranges between ₹25,000 and ₹50,000.
| Procedure | Approximate Cost Range |
|---|---|
| Fissurectomy | ₹25,000 – ₹50,000 |
The final cost may vary depending on your individual condition, findings during evaluation, and whether any additional procedures are required.
Factors That Influence Fissurectomy Cost
The overall cost may depend on:
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Severity and duration of fissure: The chronicity of the fissure, size of the wound, and presence of associated conditions such as sentinel tag or skin changes may influence the treatment approach.
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Pre-operative evaluation: Required investigations, clinical examination, and medical assessments before surgery may affect the overall cost.
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Additional procedures: If procedures such as removal of sentinel tag, treatment of associated anal conditions, or other fissure management procedures are required, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, wound care, and follow-up requirements may influence the final estimate.
Is Fissurectomy Covered by Insurance?
Fissurectomy may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr Samhitha Reddy, Proctologist and Colorectal Specialist in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine whether fissurectomy is suitable for you. She will explain the procedure, expected outcomes, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.