✦ FISSURE EDGE REMOVAL

Fissurectomy

Q: Why choose fissurectomy over LIS?

Fissurectomy is preferred when sphincter preservation is essential — particularly in women, post-childbirth fissures, patients with continence concerns, or fissures with significant chronic tissue that needs removal.

Q: Is fissurectomy combined with botox?

Yes, often. Botox injection into the internal sphincter relaxes the muscle for several weeks without any cutting, allowing the fissure to heal cleanly. The effect wears off naturally, leaving continence fully intact.

Q: How long is the recovery?

Most patients return to office work within 5–7 days. Complete healing of the wound takes 3–4 weeks. Sitz baths, dressings, dietary advice, and stool softeners support comfortable recovery.

Q: Will the fissure come back?

Recurrence is uncommon after well-performed fissurectomy with appropriate adjunct therapy. Maintaining a high-fibre diet, adequate hydration, regular exercise, and avoiding straining significantly reduce the risk.

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.

20–30 min PROCEDURE

Day Care HOSPITAL STAY

>85% SUCCESS RATE

5–7 Days RETURN TO WORK

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.

Suitable for chronic anal fissures with significant fibrosis, sentinel skin tag, hypertrophied anal papilla, and patients in whom sphincter-sparing approach is preferred — such as women, post-childbirth fissures, and patients with continence concerns.

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

20–30 minDURATION

Day CareHOSPITAL STAY

>85%SUCCESS RATE

3–4 WeeksFULL HEALING

Who Needs This Treatment?

→Removes chronic, non-healing fissure tissue
→Sphincter-sparing approach when needed
→Particularly useful for women and post-childbirth fissures
→Removes sentinel skin tag for cosmetic improvement
→Combines well with botox or advancement flap
→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

Common Questions

Frequently Asked Questions

Why choose fissurectomy over LIS?+

Is fissurectomy combined with botox?+

How long is the recovery?+

Will the fissure come back?+

Not sure which treatment is right for you?

Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.

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