Fissurectomy
Surgical removal of the chronic fissure edges and base — promotes fresh healing of the fissure, often combined with conservative or alternative measures to spare the sphincter.
What is Fissurectomy?
Fissurectomy is the surgical removal of the fibrotic edges, sentinel skin tag, and base of a chronic anal fissure. By removing the chronic, non-healing tissue and creating a fresh wound, the fissure can heal cleanly from a healthy base. Fissurectomy may be combined with botox injection (to relax the internal sphincter without cutting it), advancement flap reconstruction, or selective conservative measures — particularly for patients in whom sphincterotomy is not preferred. As a female proctologist in Hyderabad, Dr. Tejasree Vengala performs fissurectomy at Lux Hospitals, Hyderabad.
How the Procedure Works
Anaesthesia & Positioning
Surgery is performed under spinal or short general anaesthesia. The patient is positioned in lithotomy or prone position.
Examination Under Anaesthesia
The fissure, sentinel skin tag, and any hypertrophied papilla are clearly identified and the depth assessed.
Excision of Chronic Edges
The fibrotic, chronic edges of the fissure, sentinel skin tag, and any associated papilla are carefully excised.
Adjunct Therapy
Botox injection into the internal sphincter or advancement flap reconstruction may be added for sphincter-sparing relaxation and healing.
Wound Care & Recovery
The wound is left open to heal naturally. Patients are discharged the same day with structured wound care advice.
Outcomes
Who Needs This Treatment?
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Removes chronic, non-healing fissure tissue
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Sphincter-sparing approach when needed
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Particularly useful for women and post-childbirth fissures
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Removes sentinel skin tag for cosmetic improvement
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Combines well with botox or advancement flap
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Discreet, sensitive care by a female proctologist
For women — especially after childbirth — sphincter-sparing fissurectomy with botox is often the kindest, most thoughtful operation. We remove the chronic tissue, gently relax the muscle without cutting it, and let the body heal cleanly. Continence is fully protected.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Fissurectomy Cost in Hyderabad
The cost of fissurectomy in Hyderabad depends on the severity and duration of the anal fissure, presence of associated skin tags or sentinel piles, complexity of the procedure, investigations required, and the care needed before and after surgery.
For patients requiring surgical removal of chronic fissure tissue, the approximate cost of fissurectomy ranges between ₹35,000 and ₹70,000.
| Procedure | Approximate Cost Range |
|---|---|
| Fissurectomy | ₹35,000 – ₹70,000 |
The final cost may vary depending on your individual condition, findings during evaluation, surgical technique used, 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 anal fissure: The chronicity of the fissure, extent of scar tissue, associated skin tags, and symptoms may influence treatment planning.
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Pre-operative evaluation: Required clinical examination, investigations, and medical assessments before surgery may affect the overall cost.
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Additional procedures: If procedures such as lateral internal sphincterotomy, removal of associated sentinel piles, or other anorectal interventions are required along with fissurectomy, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, wound care, dietary guidance, 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 anal fissure. 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. Tejasree Vengala
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Tejashree Vengala, General & Laparoscopic Surgeon in Hyderabad, will evaluate your symptoms, medical history, and examination findings 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.
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Not sure which treatment is right for you?
Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.