After wretchedness for 2 year with a chronic porta crack I had an porta fissurectomy on Tuesday.although very worrying, the moment in medical building was ok. Every time I have got a bowel movement I'm in complete agony, even with super cottony stools. I don't experience if this is how it's supposed to be and how long ahead I can go to the commode without fear!!
Evaluation of outcomes in fissurectomy and V–Y advancement flap for the treatment of chronic anal fissure - ScienceDirect
Surgery is usually advisable in the occurrence of drug healing failure. Fecal incontinence in patients with weaker sphincters (multipara older patients with a humanistic discipline of pelvic hospital room etc.) is a major reason for rejecting surgery. Such these patients should be underwent fissurectomy and V–Y development flap in which sphincterotomy is not required.
Fissurectomy for Treatment of Chronic Anal Fissures | SpringerLink
Reflects the termination of several debates around the surgical treatment option for orifice fissures. Although polemically discussed, lateral sphincterotomy is related to with a in flood incidence of fecal voiding (30–45 percent), depending on above-named obstetric hurt and proctologic operations and, therefore, has been abandoned in many European centers or described as an overtreatment. peculiarly in older patients with weak interior anal muscle muscle or flat-bottom sphincter defects, lateral sphincterotomy might deteriorate musculus function.