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Laser Fissurectomy With Laser Internal Sphinctorotomy

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Laser fissurectomy with laser internal sphincterotomy is a minimally invasive surgical procedure used to treat chronic anal fissuresIt involves using a laser to precisely remove the fissure and, simultaneously, to relax the anal sphincter muscle, promoting healing and reducing pain. 

 
Here’s a more detailed explanation:
  • Anal Fissures:

    Anal fissures are small tears or cracks in the lining of the anal canal, causing pain, bleeding, and discomfort during bowel movements. 

     
  • Laser Fissurectomy:

    This part of the procedure involves using a laser to precisely cut and remove the fissure, along with any surrounding damaged tissue or scar tissue. 

     
  • Laser Internal Sphincterotomy:

    This part of the procedure uses the laser to make a small incision in the internal anal sphincter muscle, which helps to relieve the muscle spasm and reduce pressure in the anal canal. 

     
  • Benefits:

    Laser surgery for anal fissures offers several advantages, including:

    • Minimally invasive: It involves smaller incisions and less tissue damage compared to traditional open surgery. 
       
    • Less pain: The precision of the laser minimizes pain and discomfort during and after the procedure. 
       
    • Faster recovery: Patients often experience a quicker recovery and can return to their normal activities sooner. 
       
    • Reduced risk of recurrence: The laser can precisely target and remove the fissure, potentially lowering the chance of the fissure returning. 
       
  • Procedure:
    • The procedure is typically performed on an outpatient basis, often under local or general anesthesia. 
       
    • The surgeon uses a laser to make a controlled incision in the internal anal sphincter and to remove the fissure. 
       
    • The laser also seals blood vessels and nerve endings, minimizing bleeding and pain. 
       
  • Recovery:

    Patients usually experience a relatively quick recovery, with most able to return to work within a few days. 

     
  • Effectiveness:
    Laser fissurectomy with laser internal sphincterotomy is considered an effective treatment option for chronic anal fissures, with high success rates. 
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