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Overview Of Fissure

A fissure develops when the skin begins to separate and then pulls apart. These fissures can leads to develop into ulcers. Ulcers are large open wounds within the skin. Ulcers can affect the layers of the skin, but if left untreated can affect the primary muscle and bone tissue. 

Fissure can also introduced to an unnatural ulcer; most naturally found in the anus known as an anal fissure. 

Mostly two common types of fissures are occur in the body that is anal fissures and foot fissures. 


  • Anal pain during bowel movements
  • Blood in stool
  • Burning and itching around and in the anus
  • Redness around the anus
  • Fever
  • Visible cracks or tears around the anus
  • Blood in stool
  • Blood on used toilet paper

Risks Factors

  • Poor cleaning habits
  • Anal sex
  • Anal intercourse
  • Constipation:  Anal pain during bowel movements, straining during bowel movements and hard stools increase the risk of tearing.
  • Childbirth: Anal fissures are most common in women after they give birth. 


  • Shorter recovery time.
  • During and after procedure bleeding is reduced 
  • Lower risk of hemorrhage (bleeding).
  • Reduced pain and less pain medication are necessary.
  • Less time to stay in hospital.
  • Lower risk of post surgical complications. 

Procedures Of Fissure

Anal fissures can be diagnosed by a physician throughout the visual exam. Once diagnosed, treatment can begin. Treatments depending on what is causing the fissures. If the fissures are caused by constipation or diarrhea, medication can be given to relieve the symptoms. Some creams are prescribed by the doctor to help with pain relief and help the fissures to heal.  

The main treatment procedure for anal fissure;    

Lateral internal sphincterotomy :  If the medicines are fail to heal or tear(fissure) in the anus than only needed for surgery. The main procedure for fissure is an internal anal sphincterotomy. In this procedure doctor make a small cut in the internal anal sphincter, one of two muscles that control the anus. 

Lateral internal sphincterotomy (LIS) is most useful surgical procedure for the anal fissures due to its simplicity and recovering fastly. This can be done by using local anesthesia or general anesthesia during surgery. In this procedure the internal anal sphincter is be separated into parts in order to lower spasming and thus improve the blood supply to the perianal area. This improvement in the blood supply helps to heal the fissure, and weakening of the sphincter may believe to reduce the potential for reoccurred. The surgery procedure is normally performed as a day surgery after the patient is given general anesthesia. The pain from the sphincterotomy is generally mild and is often reducing the pain of the fissure itself. Patient recovering within one week and return to their normal activities.  

However lateral internal sphincterotomy (LIS) is a safe on short time basis, there are treat about its long time safety.

Post Procedures Of Fissure

  • You may have a dressing over your wound for its recovering. You should remove this in the bath the day after your surgery.
  • After the operation you may experience a small amount of bleeding, especially after opening your bowels. After wiping you may notice blood on the tissue paper. This will reduced with time. You don’t need any particular dressings for this bleeding.   
  • Increasing fiber in your diet, drinking plenty of water and walking is helpful to the patient.
  • You may take doctor prescribed medicines. 
  • Patient recovering within one week and return to their normal activities.  

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