Treatment of anal fissure: fissureectomy

Effective and gentle treatment of anal fissures with the laser

If you suffer from a chronic anal fissure, a fissurectomy in the proctological practice of Dr. Hofer and Mr. Bärtl in Munich is the treatment of choice. In contrast to an acute anal fissure, the symptoms have existed for at least six months and there are secondary changes such as mucosal pockets or deep crypts (mouth region of the anal glands). Healing without surgery is unlikely. We advise patients to undergo surgery if the pain cannot be controlled by the application of ointments or other measures.

Procedure of a fissurectomy

Cutting out the anal fissure is now standard surgical treatment. The principle of the procedure is to turn a deep wound into a flat wound and to remove all obstacles that can interfere with the discharge of secretions and the passage of stools.

During this operation, changes such as the outpost fold or hypertrophic papilla are also removed using an electric scalpel. Such an operation can also be useful in the case of a deep crypt (a deepening of the mucous membrane), in which case it is referred to as crypt exposure. If an anal fistula has developed as a result of the anal fissure, it is also removed.

anal fissure: laser surgery

The accuracy of the operation can be increased by using magnifying glasses that make even the smallest details visible during the procedure. According to our observations, the use of a diode laser instead of an electroscalpel also ensures a better end result, as wound healing begins earlier and the scars become smooth and elastic.

After the operation

The wound is not sutured to avoid additional pain, infection and scar tissue. The external wound may appear quite large to the patient, but the resulting discharge of secretion is crucial for healing. After the bowel movement, the wound is cleaned only with running water under the shower, through a sitting bath or on the way simply with a damp toilet paper or baby cloth.

After the operation there is an inability to work for about two weeks. Normally the healing starts on the 10th postoperative day. Now the secretion of wound fluid and wound pain also decrease. Towards the end of the third week, the restrictions are usually hardly still in place. Only in a few individual cases is the scar completely healed after one year.

Do you have questions about the treatment of anal fissure? Do not hesitate to call us - we will be happy to discuss everything in detail with you.

Anal fissure surgery: chances of healing

In the case of chronic anal fissure, fissureectomy is the surgical procedure of first choice. Diode laser surgery offers additional advantages in terms of healing time and the functional and aesthetic quality of the scar.