Our Fissures Service specializes in the diagnosis, treatment, and management of anal fissures, offering compassionate care to alleviate discomfort and promote healing. Led by experienced colorectal surgeons and healthcare professionals, our service is dedicated to improving the quality of life for individuals suffering from this common yet painful condition.
### Services Offered:
1. **Diagnosis and Evaluation:**
- Comprehensive medical history review and physical examination.
- Digital rectal examination to assess the location, size, and severity of the fissure.
- Use of anoscopy or sigmoidoscopy to visualize the fissure and evaluate underlying conditions.
2. **Non-Surgical Management:**
- **Lifestyle Modifications:**
- Dietary changes to promote soft stools and prevent constipation, including increased fiber intake and adequate hydration.
- Recommendations for proper toilet hygiene to minimize irritation.
- **Topical Medications:**
- Prescription of topical ointments or creams containing calcium channel blockers, nitrates, or steroids to promote healing and reduce pain.
- Use of local anesthetics for pain relief.
3. **Minimally Invasive Procedures:**
- **Botulinum Toxin Injection:**
- Injection of botulinum toxin (Botox) into the anal sphincter muscle to relax it and promote healing.
- **Lateral Internal Sphincterotomy:**
- Surgical procedure to relieve pressure on the anal sphincter by cutting a small portion of the muscle, allowing the fissure to heal.
4. **Advanced Surgical Interventions:**
- **Fissurectomy:**
- Surgical removal of the fissure, often combined with sphincterotomy for chronic or complex cases.
- **Advancement Flap Surgery:**
- Procedure to cover the fissure with healthy tissue from nearby skin or mucosa, promoting healing and reducing recurrence.
5. **Post-operative Care and Rehabilitation:**
- Comprehensive post-operative monitoring and wound care.
- Pain management strategies and guidance on resuming normal activities.
- Follow-up appointments to assess healing progress and manage any complications.
6. **Patient Education and Support:**
- Education on preventive measures and lifestyle modifications to reduce the risk of fissure recurrence.
- Counseling on proper bowel habits, including the importance of regular bowel movements and avoiding straining during defecation.
- Emotional support and guidance throughout the treatment process.
7. **Research and Innovation:**
- Participation in clinical trials and research studies to explore new treatment options and improve outcomes for patients with anal fissures.
- Integration of innovative technologies and techniques to enhance surgical precision and patient recovery.
Our Fissures Service prioritizes personalized care, patient comfort, and effective management strategies to alleviate symptoms and promote long-term healing. We are committed to providing compassionate, evidence-based care to help individuals regain comfort and improve their quality of life.
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