If these measures fail to heal your fissure, you may need surgery. The low rates of incontinence reported in the study 4. It is one of the most common and painful anorectal conditions encountered in surgical practice [ 1 ]. Cigna International Contact Us. LAS has been accepted as the gold standard treatment for chronic fissures [ 8 , 9 ]. You will probably want to place gauze or absorbent material such as feminine napkins over the area to protect your underclothes.
Login username password forgot password? During fissure surgery recovery there is a chance that the patient may experience complications. Patients should not drive or participate in any dangerous activities for the rest of the day after surgery due to the anesthetic. A post-surgical patient is encouraged to maintain a high fiber diet, get plenty of exercise, and avoid straining during bowel movements. Showering after every bowel movement is also effective.
However, most patients can resume their normal activities the day after fissure surgery. Patients who have acute anal fissures that are causing symptoms for at least three to four weeks who have not responded to other medical therapies may be good candidates for surgery. You may resume your regular diet with no restrictions. Stool softeners, fiber supplements, and dietary restrictions may be recommended to aid in passing stools during the healing phase.
Sitz baths should be done 3 times a day and after any bowel movement. Conclusion Lateral anal sphincterotomy provides very good healing of CAF. For the best experience on Cigna. A sphincterotomy involves operating on the sphincter muscles, not closing the actual fissure. For patients in LA group, only haemoglobin and random blood sugars were done as they were not required to undergo detailed anaesthetic work-up. Internal anal sphincterotomy has a better success rate than any medicine that is used to treat long-term anal fissures. Patients who were symptomatic at the end of 4 weeks were followed-up by phone interviews at the end of 8 weeks.