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What is an anal fissure?

An anal fissure is a tear around the lining of the anal canal. Anal fissures occur with painful ulcers at the end of anal canal. Anal fissures cause pain and bleeding during defecation and continue to hurt even after several hours of defecation.

What is fissure surgery or sphincterotomy?

A sphincterotomy is a surgical procedure used to treat anal fissures. When other methods of treatment fail then the doctors recommend sphincterotomy for fissure surgery.

The surgical methods to treat anal fissures are as follows:

  • Lateral internal sphincterotomy
  • Fissurectomy
  • V-Y advancement flap

How is the procedure carried out?

There multiple reasons for ectopic pregnancy to occur they are as follows: Procedure: A general anesthesia will be administered to the patient and as a result the patient will be asleep during the surgery. Once the patient is asleep the process begins by making incisions near the belly button and a small device is inserted which is called a port; it creates an opening that will be filled with gas (carbon dioxide) in the abdomen region. Then a small camera is inserted through a port in order to see the organs properly, once proper visibility is achieved more ports are inserted through which instruments go through, Ovary is examined and cysts are located which are then slowly separated using instruments. Some amount of bleeding may occur at this point and measures will be taken by the doctors to prevent blood loss by keeping a constant supply of blood; the cysts are then cut into pieces and removed. The openings are closed through surgical glue or dissolvable stitches. The process might take 2 to 3 hours.

What are the advantages of this surgery?

The surgery involves small incisions which take very less time to heal and as a result the patient can return back to normal life within no time. The surgery also leaves minimal scars.

How long does it take to recover?

The recovery time for Laparoscopic surgeries is very less and one can return to normal life within days of surgery, but they should avoid heavy lifting. The soreness after the surgery lasts for 48 hours and it can extend up to weeks depending upon the individual. If the patient is fine and the pain is less, then he is discharged immediately and follow up checkup is held every 7 to 10 days post discharge. If the pain in the incisional area persists the doctor will advise bed rest for a week. One might feel nauseated post-surgery, this might be due to anesthesia administered for the purpose of the surgery. Post-surgery one might feel shoulder pain because of the gas that was pumped in during the surgery, which will go away within 48 hours.

What is fissure surgery or sphincterotomy?

If you have a prior medical condition and you are taking medicines prescribed by a doctor please make sure you inform the surgeon beforehand. If you have a habit of smoking you will be advised to stop smoking a few weeks prior to the date of the operation as smoking may result in other complications or may cause infections. Quitting smoking enhances the chances of success. The doctor will recommend a complete physical examination in order to check if the patient is healthy enough for the surgery. On the day of the surgery the doctor will recommend the patient to stop eating and consuming liquids a few hours before the operation. If the patient is taking supplements, blood thinners and medications for any other medical conditions they will be asked to not take it before the procedure.

What are the factors contributing to anal fissures?

Following factors result in anal fissures:

  • Passing hard stools resulting in the damage of the lining in the anal canal.
  • Muscle tone increase in the anal canal
  • Reduction in nitric oxide synthesis which is responsible for facilitating relaxation of the internal anal muscles.

Frequently Asked Question's(FAQ's)

1. How Do I Find a Bariatric Surgeon?

Clearly, you want a bariatric surgeon who is very experienced in this specialty area. Research shows that the more experienced the surgeon, the lower the risk of death or complications during or after the surgery. To identify an excellent surgeon, collect a list of names. Ask friends and family members. Ask coworkers. You might be surprised -- lots of people often know others who have had weight loss surgery and want to share their doctor's name.

2. How Will My Physical Appearance Change After Weight Loss Surgery?

As you start losing weight, you will likely be thrilled with your new appearance. However, many people who lose a lot of weight often find their skin looks loose and baggy. You may want plastic surgery to remove this excess skin.

3. Will My Social Life and Relationships Change After Weight Loss Surgery?

Your relationships with friends and family may indeed change after weight loss surgery. For many people, food and drink are the basis for socializing. After weight loss surgery, you must find other ways to socialize -- ways that aren't focused on food.

4. Will I Feel Like Myself After I Lose Weight?

Losing a significant amount of weight is no small matter. In fact, the effects are profound and far-reaching. Life may seem disconcerting at times. You may feel odd, not quite like yourself. You may feel overwhelmed by the lifestyle changes you must make for the rest of your life. You may have reached for food as comfort -- and have difficulty giving it up. A therapist can help you get through this complicated period. A support group can also help. Ask your doctor about support groups for people who have had weight loss surgery. It helps to meet people who are making the same adjustments you're making -- and can help keep you on track with your weight loss program.

5. What Lifestyle Changes Are Necessary After Weight Loss Surgery?

Over time, some people regain weight despite bariatric surgery. Some eat high-calorie or high-fat foods instead of healthy foods -- and eat them too often. Some people rely on "soft meals" such as ice cream and milk shakes. The body itself may change over time, too, leading to weight gain. The digestive tract might begin absorbing more calories. Even the size of your surgical stomach can expand gradually over time.

6. How Much Weight Will I Lose After Surgery?

After gastric bypass surgery, most people can expect to lose between 66% and 80% of their extra body weight. Most of this is lost within the first two years. After gastric banding, people lose 40% to 50% of their extra weight, typically within the first two years after the surgery.



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