Procedure

Fissure Surgery

10+experience
7,000+procedures
₹500consultation

Performed by Dr. Ravi Chandra Reddy Obili at Dr Ravi Chandra Reddy

Fissure surgery in Visakhapatnam is a specialized procedure to treat chronic anal fissures that don't respond to conservative treatments. This minimally invasive surgical intervention relieves pain, promotes healing, and prevents recurrence through advanced techniques. Dr Ravi Chandra Reddy Obili, an experienced Surgical Gastroenterologist, offers expert fissure treatment with personalized care and proven outcomes.

Minimal Pain Quick Recovery High Success Rate
95%+
Success Rate
30-45 min
Procedure Time
2-3 weeks
Recovery
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Fissure Surgery at Dr Ravi Chandra Reddy
At a Glance

Quick facts about this procedure.

Quick Facts
AnaesthesiaSpinal or general anaesthesia
Procedure Duration30-45 minutes
Hospital StayDay procedure
Return to Work2-3 weeks
Success Rate95% success rate with minimal recurrence
Candidacy

Who needs fissure surgery?

Patients with chronic anal fissures lasting more than 8-12 weeks that haven't healed with medical treatment are ideal candidates.
Those experiencing severe pain during bowel movements, bleeding, or recurrent fissures despite conservative management benefit most from surgical intervention.
Individuals with anal sphincter spasm or scarring also require surgical correction.
Transparency

What you should know before this procedure.

We believe in honest, upfront disclosure so you can make an informed decision.

Success Rate

  • 95% success rate with minimal recurrence

Possible Risks

  • Temporary incontinence
  • Infection at surgical site
  • Delayed wound healing

Side Effects

  • Mild pain and discomfort
  • Minor bleeding
  • Temporary bowel urgency
Procedure

How fissure surgery works.

A step-by-step look at what happens during this procedure.

1

Initial Assessment

Comprehensive examination to confirm chronic fissure diagnosis, assess sphincter tone, and rule out other conditions through physical examination and necessary investigations.

2

Lateral Internal Sphincterotomy

A small controlled incision is made in the internal anal sphincter muscle to reduce spasm and improve blood flow to the fissure area, promoting natural healing.

3

Fissure Excision

Chronic or fibrotic fissure edges are carefully trimmed to create fresh tissue edges that heal more effectively, removing scar tissue that prevents healing.

4

Fistula Assessment

The surgeon carefully examines for any associated fistula tracts or abscesses that may complicate healing and addresses them during the same procedure if present.

5

Wound Management

The surgical site is managed to heal by secondary intention with proper hemostasis, ensuring minimal bleeding and optimal conditions for tissue regeneration.

Timelines

Duration & timelines.

Surgery Day

Day 0

Initial Recovery

Days 1-3

Pain Reduction

Week 1

Return to Light Activities

Week 2

Complete Wound Healing

4-6 weeks

Full Recovery

6-8 weeks

Our Approach

How we handle this procedure.

A structured, patient-first approach from first consultation to full recovery.

Step 01

Personalized Consultation

Dr Ravi Chandra Reddy conducts thorough evaluation including digital rectal examination and proctoscopy to assess fissure severity, location, and underlying causes before recommending the most appropriate surgical approach.

Step 02

Minimally Invasive Technique

Using advanced surgical methods, Dr Reddy performs precise sphincterotomy with minimal tissue trauma, ensuring faster healing, reduced pain, and preservation of sphincter function for long-term continence.

Step 03

Pain Management Protocol

A comprehensive post-operative pain management strategy is implemented including local anesthetics, oral medications, and sitz bath instructions to ensure patient comfort during the critical healing phase.

Step 04

Follow-up Care

Regular follow-up appointments are scheduled to monitor healing progress, address any concerns, provide dietary guidance, and ensure complete recovery with preventive advice to avoid recurrence.

Recovery

Recovery & aftercare.

What to expect at each stage of your recovery journey.

Immediate Post-operativeEarly Recovery PhaseComplete Healing Phase

Immediate Post-operative

First 24-48 hours involve managing discomfort with prescribed pain medications, maintaining hygiene with gentle cleaning, and taking warm sitz baths 3-4 times daily to promote healing and reduce pain.

Early Recovery Phase

During weeks 1-2, patients gradually resume normal activities while avoiding heavy lifting and strenuous exercise. High-fiber diet and adequate hydration prevent constipation, ensuring soft stools that don't strain the healing tissue.

Complete Healing Phase

By weeks 4-6, the surgical site heals completely with minimal discomfort. Patients return to all normal activities including exercise, with continued focus on fiber intake and healthy bowel habits to prevent recurrence.

Outcomes

Success & outcomes.

Pain Relief

Over 95% of patients experience complete resolution of chronic anal pain that previously affected daily activities, bowel movements, and quality of life, with noticeable improvement within the first week.

Fissure Healing

The surgical intervention promotes complete healing of the chronic fissure within 4-6 weeks, addressing the underlying sphincter spasm and inadequate blood flow that prevented conservative treatment success.

Improved Quality of Life

Patients report significant improvement in daily comfort, ability to sit, work productivity, and psychological well-being after years of suffering from chronic fissure symptoms and fear of bowel movements.

Low Recurrence Rate

With proper post-operative care and lifestyle modifications, recurrence rates remain below 5%, offering long-term relief and allowing patients to maintain normal bowel function without chronic pain.

Myths vs Facts

Common misconceptions.

Let's clear up some of the most common myths about fissure surgery.

What happens if fissure surgery is delayed?

  • Untreated chronic anal fissures lead to persistent severe pain, bleeding with bowel movements, and progressive sphincter spasm that worsens the condition. The constant pain causes patients to avoid bowel movements, leading to constipation that further aggravates the fissure in a vicious cycle. Long-term complications include development of sentinel tags, anal stenosis, fistula formation, and significant psychological impact affecting quality of life and daily functioning.
Related Conditions

Conditions we treat.

FAQ

About fissure surgery.

What is Fissure Surgery and who needs it in Visakhapatnam?
How long does it take to recover from fissure surgery?
Is fissure surgery painful and what kind of anaesthesia is used?
What is the success rate of fissure surgery?
Will I experience incontinence after fissure surgery?

Ready to take the first step?

Get a personalised assessment from an experienced specialist. Understand your options, ask your questions, and decide with confidence.

📍 H No: 16-1-6, Coastal Battery Road,, beside Apex Hospital, Maharani Peta,, Visakhapatnam,🕐 Mon–Sat: 9:00 AM – 8:00 PM