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Anal fissures can be acute or chronic. An acute fissure is a superficial tear and a short-term condition. A chronic fissure is deeper and may expose underlying muscle. When lifestyle and diet changes and medication fail, and the condition becomes chronic, surgery is recommended.

Edward Joseph Bieniek, MD
505-954-8720
902 Allahna Way
Santa Fe, NM
Monty Woods, MD
608-935-9751
6 Camino Botanica
Santa Fe, NM
Raphael Isaiah Shapiro, MD
505-988-3975
490A W Zia Rd
Santa Fe, NM
Philo Calhoun
(505) 988-9821
1700 Cerrillos Rd
Santa Fe, NM
Dan Ernest Allon, MD
Santa Fe, NM
Timothy F Wetherill, MD
316-293-2665
701 Paseo de La Loma
Santa Fe, NM
Walter E Dickinson, MD FACS
505-489-1693
147 Gonzales Rd
Santa Fe, NM
Jorge Aquiles Lentino, MD
713-398-4649
3071 Plaza Blanca
Santa Fe, NM
John Dirk Wassner, MD
505-954-8720
465 Saint Michaels Dr Ste 110
Santa Fe, NM
Anna Maria Voltura, MD
505-988-3975
490A W Zia Rd
Santa Fe, NM
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Sphincterotomy and Anal Fissure

Overview

A fissure is a tear in the skin of the anus, usually caused when a large, hard stool overstretches the anal opening and damages the fragile skin. It is often associated with constipation, and less frequently, with chronic diarrhea, inflammatory bowel disease or sexually transmitted diseases that involve the anus and rectum. Sometimes, the cause is unknown.

Anal fissures can be acute or chronic. An acute fissure is a superficial tear and a short-term condition. A chronic fissure is deeper and may expose underlying muscle. When lifestyle and diet changes and medication fail, and the condition becomes chronic, surgery is recommended. A lateral internal sphincterotomy is the surgical procedure most commonly used to repair a fissure.

Surgical Procedure

Lateral internal sphincterotomy involves stretching or cutting the internal sphincter, the muscle that restricts and relaxes when stool passes from the body. Cutting the muscle prevents spasm and temporarily weakens the muscles, and this in turn helps the area to heal. The surgeon removes the fissure and any underlying scar tissue.

The surgery can be performed under local anesthesia, which involves injecting the immediate area with a numbing agent similar to that used at the dentist's office, or spinal anesthesia, which numbs the entire lower body. In some cases, general anesthesia may be used, which renders the patient unconscious. The choice of anesthesia depends on patient and physician preference, the pa...

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