Chronic Anal Fissure: Ending the Cycle of Pain with Personalized Surgery
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An anal fissure is a small, painful tear in the lining of the anus, often described as passing glass during a bowel movement. If the fissure becomes chronic (lasting more than six weeks), it fails to heal due to continuous spasm in the underlying muscle.
At Ashirvad (Dr. Binod Healthcare) in Bihar, we offer specialized, permanent solutions. We move beyond general remedies to provide a personalized treatment plan utilizing the most effective techniques—whether it’s the latest Laser Fissure Surgery or the time-tested Lateral Internal Sphincterotomy (LIS).
Surgeries we Perform
What is a Chronic Anal Fissure?
A fissure begins with a tear, usually caused by hard stools. When this tear doesn't heal, the internal anal sphincter muscle tightens excessively (goes into spasm). This muscle spasm reduces blood flow to the wound, preventing it from healing and leading to a Chronic Fissure.
Common Symptoms Requiring Expert Care:
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Sharp, searing pain during and long after a bowel movement.
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Visible bright red blood on the toilet paper or stool.
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A small lump or skin tag (sentinel pile) near the tear.
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The pain is so severe that it causes fear of using the toilet.
Our Advanced Treatment Options (Laser, Traditional & Hybrid)
The primary goal of any chronic fissure treatment is to relieve the muscle spasm and allow the wound to heal. We choose the technique based on the severity and complexity of your fissure.
Option 1: Laser Fissure Surgery (Modern, Minimally Invasive)
Option 2: Traditional Surgery (LIS - Lateral Internal Sphincterotomy)
Option 3: The Hybrid/Mixed Approach
Laser Fissure Surgery (Modern, Minimally Invasive)
Procedure Focus: The surgeon uses a specialized laser probe to gently ablate (vaporize) the non-healing, scarred tissue of the fissure. Crucially, the laser is used to relax the tight internal sphincter muscle without a major cut.
Best Suited For:
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Patients seeking the quickest recovery, minimal post-operative pain, and those with less severe chronic spasm.
Key Advantages of Laser Surgery
Less Pain & Discomfort: The procedure involves no incisions or stitches, resulting in minimal post-operative pain.
Faster Recovery: Patients can often return to their daily routines within 1-2 days.
No Large Cuts: The procedure is performed without the need for large cuts
Outpatient Procedure: The surgery is typically performed as a day-care procedure, meaning you can go home on the same day but it depends on the condition of the patient.
Traditional Surgery (LIS - Lateral Internal Sphincterotomy)
Procedure Focus: The surgeon makes a tiny, controlled incision into a small, non-essential portion of the internal anal sphincter muscle. This permanently reduces the muscle pressure and restores blood flow, allowing the fissure to heal completely.
Best Suited For:
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Fissures with high-pressure spasms that have been present for many months and show minimal signs of healing
Key Advantages of Traditional Surgery
Permanent Cure: It is the most definitive and effective treatment for the most severe cases of piles.
High Success Rate: Has a long history of excellent results and a very low rate of recurrence.
The Hybrid/Mixed Approach
In some complex cases, our surgeons may combine techniques for optimal results:
Fissurectomy + Partial LIS:
The scarred edges of the chronic fissure are carefully trimmed (Fissurectomy) to prepare the wound for healing, and only a minimal, controlled LIS is performed to ensure the spasm is relieved without compromising bowel control. This approach maximizes both healing and safety.
Laser vs. Traditional Surgery vs Hybrid: Which is Right for You?
Choosing the right procedure for a chronic anal fissure is the most crucial step toward a permanent cure. At Ashirvad Healthcare, we do not follow a one-size-fits-all approach. Our specialist evaluates your condition, factoring in the severity, the duration of the fissure, and the pressure within the anal muscle to recommend the best technique.
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You may be a candidate for Laser Surgery: Mild to moderate chronic fissures and patients prioritizing fast recovery and minimal pain.
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You may be a candidate for Traditional Surgery: Severe, long-standing chronic fissures with very high, persistent muscle spasm (anal pressure).
You may be a candidate for Hybrid Surgery: Cases where the fissure has extensive scarring (requires trimming) and the muscle spasm needs precise release.
Why Ashirvad ?
Delivering Seamless Surgical Experience
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Ashirvad was founded by the Dr. Binod Kumar, a respected surgeon known for ethical, compassionate treatment. We continue his legacy with the same dedication to honest, patient-first care.
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Our team specializes in minimally invasive procedures — ensuring faster recovery, less pain, and fewer complications
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We speak your language, understand your concerns, and treat you with respect — whether you're coming from Patna city or a nearby village. Our team stays with you before, during, and after the treatment.
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Our team doesn’t forget you after discharge. A dedicated Patient Care Assistant (PCA) checks in with you on phone/WhatsApp and guides you on recovery, medicines, and next steps.