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.
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
Common Questions
Frequently Asked
Not sure which treatment is right for you?
Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.