Live Laser Fissurectomy in chronic fissure | Rectal Polypectomy | Anal Stricture Surgery

A patient presented with chronic fissure who had a skin tag, and anal stricture suffered prolonged worsening constipation and abdominal pain.
After examining the case, our surgeon, Dr, Ashwin Porwal, indicated that the patient had undergone multiple surgeries in the past and a laser fissurectomy was planned for a complete cure.

Overview:
A chronic anal fissure is a rupture of anal canal mucosa lasting for more than 2 months and resistant to non-surgical treatment. This condition is attended by severe pain syndrome during and after a bowel movement (defecation). This condition is most frequent in younger and working-age adults; therefore, the treatment issue is of particular relevance.

The main cause of chronic anal fissure development is spasms of the internal sphincter. It should be eliminated in the first instance, in order to provide effective therapy. All the main treatment methods, such as medicinal relaxation of the internal sphincter with 0.4% nitroglycerin ointment, lateral subcutaneous sphincterotomy, and pneumodivulsion of the anal sphincter are aimed at its removal. However, the optimal method has not yet been developed.

Non-surgical treatments are often attended by a relapse of disease, while surgical treatment is often complicated by intestinal contents incontinence, usually gas and loose or hard stool on some occasions (grade 3 anal sphincter insufficiency).

About surgeon:

Dr.Ashwin Porwal – Consultant Colo-Rectal Surgeon,
Dip. Laparoscopy (EITS, IRCAD, France), Proctology (Austria)
MUHS ( Maharashtra University of Health Sciences ) recognized Professor in Proctology.
Healing Hands Clinic : Center for Piles , Constipation , Fistula , Fissure , Prolapse , Hernia , Circumcission & Varicose Veins.

Certified as Centre of Excellence for Proctology by Dr Antonio Longo ( Inventor of MIPH for Piles and STARR for ODS )

Certified as Centre of Excellence for 3D Hernia By Dr John Murphy ( Ex-President American Hernia Society )

Certified as Centre of Excellence for Pelvic Floor Disorders like Incontinence and Prolapse. Equipped with advanced manometry, biofeedback and a team of pelvic floor physiotherapist

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Video is for educational purposes only

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