Fissure Laser Surgery - Procedure, Treatment, Recovery Time

We have the top Specialists in your city for Laser Surgery for Fissure.

Treatment Duration

15 Minutes

To

30 Minutes

Treatment Cost

Rs 30000

To

Rs 140000

Laser Surgery for Anal Fissure is an advanced surgical procedure to treat anal fissures. In this procedure, a laser beam is used to destroy the scarred tissue area. This procedure is also known as Laser Fissurectomy.

Laser surgery for anal fissures is a daycare procedure. The procedure usually takes 15 to 30 minutes to complete. The recovery after the surgery is generally quick and effortless.

Surgery Name Laser Surgery for Anal Fissure
Alternative Name Laser Fissurectomy
Diseases Treated Anal fissure
Benefits of the Surgery Minimally invasive, No stitches, No bleeding, Lesser operative time, Quick recovery
Treated by General Surgeon (Proctologist) 

What is Laser Fissure Surgery?

Laser Fissure Surgery is an advanced surgical procedure to treat anal fissures. In this procedure, a laser beam is used to destroy the scarred tissue area. This procedure is also known as Laser Fissurectomy.

Anal fissures are linear tears or open sores in the anus opening caused due to a trauma or an injury. An anal fissure also causes pain, itching, and bleeding.

Anatomy and Physiology of Anal Region

  1. The anus is the outer end of the human body’s digestive system which is a 2-inch long canal through which stool passes out of the body. 
  2. It is surrounded by the internal and external sphincter muscles and pelvic floor muscles, which open and closes for passing the stools. 
  3. The anus is connected to the rectum (the final section of the large intestine) proximally, and the anal canal terminates at the anal verge from where the stool is excreted out of the body. The rectum is lined by columnar epithelial cells while the anal canal is lined by squamous epithelial cells.
  4. The anus also contains a network of blood vessels and nerve cells. 
  5. When the rectum is full, the body feels the urge to have a bowel movement. The internal anal sphincter relaxes and pushes the stool from the rectum into the anal canal. Once the external anal sphincter relaxes, the stool is pushed out of the body through the anus.

Conditions treated with Laser Fissure Surgery

Generally, chronic anal fissures are treated with the help of laser fissure surgery. In addition to anal fissures, the following conditions are also treated with laser surgery.

  1. Piles or Haemorrhoids
  2. Anal fistula
  3. Pilonidal sinus

Who needs Laser Fissure Surgery?

Laser fissure surgery is recommended for adults when conventional treatment methods fail to treat acute or chronic anal fissures. 

How is Laser Fissure Surgery performed?

Laser fissure surgery is a minimally invasive procedure which usually takes about 15 to 30 minutes to complete depending on the patient’s age, other medical conditions of the patient and severity of the condition. This procedure is performed using a CO2 laser or 1470 nm diode laser to treat anal fissures. The laser beams destroy the scarred tissue area. The procedure is also generally performed under local or general anaesthesia to keep the patient comfortable. The following steps are carried out during the procedure:

  1. The surgeon will advise the patient to be in a lithotomy position (lying down on your back, with your hips and knees flexed and thighs spread apart). This position will help the surgeon to visualise the surgical site clearly.
  2. The anesthesiologist will administer local or general anaesthesia depending on the pre-anaesthesia reports of the patient, to prevent any discomfort during the surgery.
  3. Once the patient’s condition stabilises, the surgeon will then insert a laser into the natural opening of the anus.
  4. Then, the surgeon will move the laser to the location of the fissure. 
  5. An incision is then made (using the laser) in the anal muscles thereby loosening the sphincter muscles.
  6. The fissure scar also heals during this process thus curing the patient. 
  7. The patient will then be moved to the recovery room post-surgery.

What to expect before and on the day of Laser Fissure Surgery?

The patient may expect the following before or on the day of the surgery.

Before Laser Fissure Surgery

A patient may expect the following before the surgery:

  1. Preoperative examination: 
    1. A medical check-up with the proctologist will be required a few weeks before the surgery. 
    2. During the check-up, the patient will be asked to get a blood test, ECG (electrocardiogram), and chest X-ray done.
  2. Medications: Medications can interfere with the surgical process. If a patient takes blood-thinning medications such as warfarin, he/she must stop them a few days before the surgery.
  3. Dietary changes: 
    1. The proctologist will advise the patient to eat foods rich in minerals and vitamins such as fruits and vegetables a day before surgery.
    2. The patient will be asked to avoid red meat and such foods that are difficult to digest.
    3. The patient also should not consume alcohol three to four days before surgery.

On the day of Laser Fissure Surgery

  1. The patient needs to reach the hospital before the scheduled time.
  2. The patient will be asked to sign the consent form in the presence of his/her family.
  3. The patient will be instructed to remove his street clothes and jewellery and wear a hospital gown or shorts.
  4. A nurse will place an intravenous catheter in the patient’s hand or forearm and inject a mild sedative.
  5. Vitals will be monitored.
  6. The patient will then be shifted to the operating room.

What to expect after Laser Fissure Surgery?

A patient who has undergone laser fissure surgery can expect the following after the surgery:

The recovery process in the hospital

  1. Post-surgery, the patient will be moved to the hospital ward so that he/she can recover.
  2. The patient will be kept in observation until the after-effect of anaesthesia wears off.
  3. The surgeon will prescribe antibiotics to prevent infection and analgesics to avoid pain and discomfort.
  4. Once the patient's condition stabilises, the patient will be discharged after providing detailed information about the home care, scheduled medicines, and initiation of activities.
  5. Most patients are discharged from the hospital on the day of the surgery. However, the patient may need to stay at the hospital for 2 to 3 days in some cases. The average time of stay at the hospital after surgery is around 12 hours.

Recovery process/expectation after hospital discharge

All the instructions provided by the doctor should be followed at all times.

  1. The patient may experience some pain while passing stool at first, although it should be less than that before the surgery. Using stool softeners or laxatives can help the patient to have a less painful bowel movement.
  2. The patient must stay hydrated and increase the intake of fibre-rich foods like fresh fruits and vegetables.
  3. The anal fissures will heal completely within one to two weeks post-surgery.
  4. The patient can most likely return to his/her daily routine within one to two days of surgery.
  5. The patient can shower as usual; however, he/she must pat the anal area dry with a towel after showering.

First follow-up appointment

  1. The first follow-up appointment post-surgery will be scheduled within 1 month after the surgery.
  2. During the follow-up visit, the doctor will view the surgical site and develop a strategy to manage complications.
  3. The doctor might also change the medication or advise the patient to continue with the previous medication for some more time, depending on the condition and recovery of the surgical area.
  4. The patient will also be informed regarding future visits to examine if the implant is in place and functioning properly.

Benefits of Laser Fissure Surgery

Laser fissure surgery is an advanced surgical procedure to treat anal fissures. This treatment method has several benefits which help improve the quality of life of an individual. The benefits of laser fissure surgery include:

  1. Pain relief from fissures
  2. No bleeding
  3. Requires minimal invasion (no cuts or fewer cuts)
  4. Lesser operative time (around nine minutes)
  5. Reduces clinical symptoms
  6. Shorter recovery time
  7. Fewer dangers and side effects

Risks and complications of Laser Fissure Surgery

Laser fissure surgery minimises the risk of complications compared to other surgical treatments of anal fissures. However, there are some risks and complications associated with laser fissure surgery. These include: 

  1. Pain
  2. Bruising
  3. Swelling in the treated area. 
  4. Difficulty in passing bowel after the surgery

When is consultation with the doctor needed?

A patient should follow up with the proctologist if he/she experiences any of the following complications:

  1. Pain
  2. Infection at the surgical site
  3. Bleeding
  4. Involuntary passing of faeces
  5. Difficulty in passing urine

Risks of delayed Laser Fissure Surgery

If anal fissures are not treated in time, they can be uncomfortable and may affect daily activities. Risks of delayed laser fissure surgery may include:

  1. Severe pain during bowel movement
  2. Burning sensation
  3. The complication of chronic anal fissures
  4. Infection
  5. Development of anal fissure to anal fistula

Cost of Laser Fissure Surgery

The cost of laser fissure surgery ranges from ₹30,000 to ₹1,40,000. The cost varies based on the following factors:

  1. Patient’s age
  2. Other medical conditions that the patient may have
  3. The severity of the anal fissure
  4. Technique and equipment used
  5. The type of hospital facility availed - individual room or shared
Procedure Name Cost Value
Laser Surgery for Anal Fissure ₹30,000 to ₹1,40,000

Frequently Asked Questions on Laser Surgery for Fissure

What is laser fissure surgery?

Laser fissure surgery generally involves the use of a CO2 laser. The infrared radiation from the laser is used to increase the blow flow to the area of the fissure which results in proper healing of the fissure. The reason a CO2 laser is used is that it offers a fixed area of concentration and greater control over the surgery.

Do anal fissures reoccur after laser fissure surgery?

They may reoccur after laser surgery. About 5 to 10 per cent of patients who undergo any form of intervention for anal fissures can have a recurrence, but there are many factors that decide whether a patient will have a recurrence or not. The most important factors are lifestyle, dietary modifications and physical activities post-surgery. If a patient follows the doctor’s instructions then the chances of recurrence would be minimal. Even if it reoccurs that would be a low grade which is easily manageable.

What is the process of laser fissure surgery?

The doctor will usually suggest laser surgery after a patient has tried other treatments first, including Botox. The laser fissure surgery is performed under local or general anaesthesia. The doctor will use a CO2 laser or 1470 nm diode laser to cut the sphincter muscles of the anal region to release the tension, which lets the fissure heal.

How much rest is needed after a laser fissure surgery?

After undergoing laser surgery for anal fissures, it may take 2 to 3 days for a patient to resume normal activities but to recover and heal completely, it takes 2 to 3 weeks.

How do I get rid of a chronic fissures?

Studies have found that chronic fissures are resistant to other treatments or if symptoms are severe. Laser fissure surgery is much more effective than any medical treatment. 

What are the risks associated with laser fissure surgery?

Laser fissure surgery minimises the risk of complications compared to other surgical treatments of anal fissures. However, there are some risks and complications associated with laser fissure surgery. These include: 

  1. Pain
  2. Bruising
  3. Swelling in the treated area. 
  4. Difficulty in passing bowel after the surgery

What is the approximate duration of laser fissure surgery?

In most cases, laser fissure surgery takes about 15 to 30 minutes to complete depending upon various factors such as the patient's age, comorbidities of the patient, and severity of the anal fissures.

Is laser fissure surgery painful?

Generally, laser surgery is a quick and painless procedure for anal fissures. Also, the procedure is performed under local or general anaesthesia, thus the patient would not feel any pain during the surgery.

What are the advantages of laser fissure surgery?

Laser fissure surgery is an advanced surgical procedure to treat anal fissures. This treatment method has several benefits including:

  1. No bleeding
  2. Pain relief from fissures
  3. Minimally invasive (no cuts or fewer cuts)
  4. Lesser operative time (around nine minutes)
  5. Reduces clinical symptoms
  6. Quick recovery

What is the success rate of laser fissure surgery?

The success rate of laser fissure surgery is more than 97%. The recurrence rate is very low, ranging from 1 to 3%.

What can I expect after laser fissure surgery?

Post laser fissure surgery, a patient should avoid strenuous activity for 1 week. The patient must also take sitz baths (for 15 to 20 minutes in warm water) three times a day and after each bowel movement for the first few days.

Is it normal to bleed after laser fissure surgery?

Minor bleeding from the anal region post-laser fissure surgery is common. However, if the bleeding is severe, the patient must consult the doctor immediately.

What is the cost of laser fissure surgery?

The cost of laser fissure surgery ranges from ₹30,000 to ₹1,40,000. The cost varies depending on various factors.

Why does the cost of laser fissure surgery vary for different patients?

The cost of laser fissure surgery differs due to several factors including hospital choice, the severity of the anal fissure, surgical technique, and overall health condition of the patient. Contact HexaHealth care specialist to get cost-effective treatment.

Does insurance cover laser fissure surgery?

Yes, all health insurance plans cover laser fissure surgery. Paperwork is facilitated by our team on your behalf ensuring smooth approval and a cashless facility. Contact HexaHealth for a simple cashless and hassle-free experience.

What are the myths versus facts about laser fissure surgery?

  1. Myth: Laser fissure surgery causes pain and bleeding.
    Fact: No, laser fissure surgery neither causes pain nor bleeding as this procedure is minimally invasive surgery with several benefits such as less pain, fewer complications, reduced tissue trauma, and fast recovery. 

  2. Myth: Laser fissure surgery is often heavily expensive.
    Fact: No, laser fissure surgery is affordable and cost-effective as the patients do not need to get hospitalized for laser treatment.

Expert Doctors for Laser Surgery for Fissure

Dr. Atul N.C. Peters

Dr. Atul N.C. Peters

Laparoscopic / Minimal Access Surgery, Bariatric Surgery / Metabolic, General Surgery
26 years experience
98% Recommended
Dr. Atul Wadhwa

Dr. Atul Wadhwa

General Surgery
27 years experience
98% Recommended
Dr. Yogesh Gautam

Dr. Yogesh Gautam

General Surgery, Laparoscopic / Minimal Access Surgery
43 years experience
96% Recommended
Dr. S K Tiwari

Dr. S K Tiwari

General Surgery
40 years experience
99% Recommended
Dr. V K Jain

Dr. V K Jain

General Surgery
45 years experience
98% Recommended
Dr. Sandeep Kumar Jain

Dr. Sandeep Kumar Jain

General Surgery
19 years experience
99% Recommended
Dr. P K Dewan

Dr. P K Dewan

Laparoscopic / Minimal Access Surgery, Bariatric Surgery / Metabolic, Metabolic And Bariatric Surgery
40 years experience
97% Recommended
Dr. Vivek Bindal

Dr. Vivek Bindal

Laparoscopic / Minimal Access Surgery, Bariatric Surgery / Metabolic, Department of General Surgery and Robotics, Metabolic And Bariatric Surgery
24 years experience
98% Recommended

NABH Accredited Hospitals for Laser Surgery for Fissure

Alpine Hospital

Alpine Hospital

Plot No. 140, Near Mother Dairy 122001
Excellence in General Surgery
4.9/5
Apex Hospital, Naraina Vihar

Apex Hospital, Naraina Vihar

E-22, Goswami Girdhari Lal Marg 110028
Excellence in General Surgery
4.8/5
Max Super Speciality Hospital, Shalimar Bagh

Max Super Speciality Hospital, Shalimar Bagh

FC 50, Max Wali Rd, C And D Block 110088
Excellence in General Surgery
4.8/5
Avantika Multispeciality Hospital

Avantika Multispeciality Hospital

A3/8, 110085
Excellence in General Surgery
4.9/5
BH Salvas Hospital

BH Salvas Hospital

Chandan Palace 110043
Excellence in General Surgery
4.8/5
CDAS Super Speciality Hospital

CDAS Super Speciality Hospital

Malibu Town 122018
Excellence in General Surgery
4.5/5
CDAS Hospital, Gurugram

CDAS Hospital, Gurugram

Plot no.- 1, Malibu Town, 122018
Excellence in General Surgery
4.6/5
Cloudnine Hospital, Patparganj

Cloudnine Hospital, Patparganj

Community Centre, Plot, Street Number 6B 110092
Excellence in General Surgery
4.5/5
Diyos Hospital

Diyos Hospital

A1/26 110029
Excellence in General Surgery
4.8/5

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