Difference between LIS and fissurectomy

Watch this video on the LIS procedure: • Lateral Internal Sphin...
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DISCLAIMER: This video is purely educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Albert Chung, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death.

[@Bauman95]

Thank you for making these videos doctor as someone navigating a fissure your videos provide comfort and valuable information that make me feel better.

[@alexbandy7519]

I got to go dr. Thank you you are the best wish you were in nyc

[@NajeebullahNajeeb-lb4pd]

Thanks dr. Chung I am general surgeon in Kabul, Afghanistan it is my first time to watch your videos and they are so interesting and helpful for me. Thanks again and your hard work is appreciable in the surgery area. Regards' Dr Najeebullah Najeeb

[@arashghanbari5907]

I was convinced I need surgery. Thank you so much for your videos Dr Chung!

[@signitainment1181]

Hi

[@wanderernsp4885]

Doctor.. You are GREAT 👍

[@omarromo5293]

Great video! However, in the case of a chronic fissure with a sentinel pile present, surgery is the option, isn't it? The sentinele pile cannot be removed by any other means as far as I know. Thank you!

[@kathcares]

Another great video, Dr. Chung! Thank you for providing us with some food for thought. The bottom end is so different from any other body part. I'm so glad you make videos illuminating these differences. Doctors can throw jargon around that intimidates the patient without giving a full explanation. It's great to hear a description of these procedures in layman's terms, delivered in such a friendly, enthusiastic manner from a professional. I hope that others in your field are watching and listening. Maybe one day you'll offer an online program to help people around the world make friends with their bottom end! It could be a safe place for sufferers to share their stories and advice.

[@yourfriendlyproctologist]

Thanks for your thoughts, Kathy!

[@twoscoop5766]

Hi Dr Chung. Can you have a fissure located on your hemorrhoid? If so which surgery would be performed? Thank you!

[@jene5420]

Hi Dr I just had Botox and wondered if I can use pranicure with the Botox treatment? Should have tried it first

[@Mindovermatter767]

You are the best!

[@bushrarehman1716]

Please tell me about anoplasty doctor suggested that to me.

[@MrOha86]

Fissurectomy involves taking away the skin tag and hipertrofied papilla too right ? With flap or without flap ?

[@lisabourque1321]

Thank you!

[@fredcdobbs823]

My colorectal surgeon said she was "Just going to clean up" my fissure & inject botox. Would that make it as good as an LIS?

[@bushrarehman1716]

What about anoplasty. Doctor proposed me anoplasty with Sprinchtrotmy.

[@samikshakhatiwara6305]

Does laser surgery for fissure cause complications during childbirth?

[@scottmcreynolds6565]

Dr. Chung...thanks for the video. I find them very informative. If I was to do a consult, how does that work? I've been dealing with hemorrhoids most of my life. I just turned 59 years old and they are still bothering me. Thanks and just let me know.

[@yourfriendlyproctologist]

To get all the details, just email me at: [e-mail]

[@ashokpangeni]

A chronic anal fissure for almost 6months. should a person start surgery or put on adviced ointments and have a strict diet?

[@kaitoshri]

Can bleeding possible after lazer treatment in fissure?

[@luzyjewelry574]

Hi! Dr Chung, is banding treatment effective?

[@yourfriendlyproctologist]

Sure is! But only when you know which hemorrhoids will work!

[@oggamer2244]

Doc I've been watching your KZbin videos and It gave me the patience to power through multiple anal fissures. Right now I want to use diltiazem but my butt itches alot when I use it. It didn't used to itch when I used it for a month but now it does so I had to quit it. Do you have any tips based on your experience on how to stop the itching? My anal sphincter is super tight

[@RBedair5560]

Hi , did you heal after a year or what did you do the surgery?

[@oggamer2244]

@@RBedair5560 I stopped using diltiazem, the itching is too much. Also I have not healed because my anal sphincter is always contracted, it just doesn't relax, I have not done any exercises so am not sure if that helps. Also I didn't do surgery because I don't trust any of the doctors around my area. I take stool softeners(docusate sodium) everyday. The stool softers help, so right now am just praying and hoping to god some medicine pops up that doesn't cause itching and can relax the sphincter muscle so I can heal. Without your sphincter relaxing, you will not heal

[@tomc9543]

Hi Dr Chung, Is the stitching addition in a fissurectomy something akin to a procedure called an anal flap advancement/anoplasty procedure? Thanks for all your great work, Tom.

[@yourfriendlyproctologist]

those are all different procedures.

[@bushrarehman1716]

@@yourfriendlyproctologist can we go for anoplasty if doctor suggest. Is it dangerous in future if we have that.

[@xihgg1216]

Do you think nicotine has any affect on getting fissure or them healing?

[@kundaslinas3534]

I dont think i was smoker now no smoker still same problem

[@alexbandy7519]

Dr. I am just afraid of getting a colonoscopy. I have been taking miralax. Been working . But I know I got to gov

[@sar9907]

I can tell that I just had my colonoscopy done a week ago. Very simple procedure. bowl prep is worst plus fasting. Got put under from 10am woke up at 12.30pm. Was diagnosed with type 2 international hemorrhoid. Scheduled for banding in 3 weeks.

[@parthosarathimaxotek]

I have had 2 colonoscopies over the years. First when I was 25 and the second when I was 34. The only thing that was detected was small internal hemorrhoids. Please follow the protocol given to you. It is generally not painful. You may feel a bit gassy and sore for a couple of days. But, the benefits outweigh the risks by a lot.

[@sagartripti]

How are you now? ​@@sar9907

[@skaenthusiast]

Hi dr,can you please tell about laser treatment?

[@skaenthusiast]

..an update. I just had my laser hemorrhoidoplasty. Supposed to be minimal pain,but my hemorrhoid is so big n so sensitive,dr had to cut it. Now day 2,the pain is on level 5.

[@oussamadjabali9306]

@@skaenthusiast how are you doing

[@skaenthusiast]

@@oussamadjabali9306 doing good,it takes 2 week to recover it fully. All is well,but it left a bit of skintag 😅

[@oussamadjabali9306]

@@skaenthusiast i am having fissure ana hémorroïdes but i am scared from the surgery

[@monicalockhart6153]

I've had chronic anal fissures (2) for almost 3 years and after creams and rounds of Botox and no help, I needed surgery. I had my surgery this morning, I got a LIS and fissurectomy. I was told I got some dissolvable stitching. I'll update you on how I recover, but it's going well so far.

[@pp-ik6wj]

How are you now?

[@monicalockhart6153]

@@pp-ik6wj first 3 days were actually horrible, and pretty painful. I was beginning to regret the surgery. After a bm on day 3, the pain actually got better. Im on day 5 with little to no pain & feel good. Only had the 1 bm but it was considerably less painful than before the procedure. I was more scared than anything. If i continue to have minimal/no pain with bm i would say its well worth it for me, because the fissure pain is unbearable.

[@chaitucool454]

​@@monicalockhart6153how are you now?

[@PejuangSembuh-yu7il]

@@monicalockhart6153 How are you now, do you experience anal swelling after anal fissure surgery?

[@nrtnrt6676]

​@@monicalockhart6153how are you now?

[@proudlyjustbe6445]

Hie Dr Chung. Please i have grate 3 surgery. 2week ago. After one weeks of surgery i feel like I want to poop. But I go toilet it wasn't poop but coaculate blood. I when to the doctor he said it's normal. But still after 4days that i see the doctor. Again i feel poop but I poop blood. And I feel my stomach moving and little little gaz out. And also rotate(like having gaz out of my mouth). Now i don't understand why I have pooped blood again. Please doctor try explain to me. Thanks. God bless you

[@oussamadjabali9306]

how are you doing

[@fatemehhasanzade8073]

Hi doctor I have chronic anal fissure and 9 month ago did LIS and anoplasty surgery but not healed my wound and change to fistoul Then I did fissurectomy and fistolotomy by leyser Unfortuntly Iam not better and my wound not compltly healeh and have a very pain after defication😢 Please help me for better my wound

[@ramago3776]

How r you now?

[@Nishabower]

Hi Doc, can you retrain your bowels while still healing an anal fissure? I've been on laxatives for over 6 weeks and I feel like I can't go to the toilet on my own. Is it possible to not use them and still effectively heal my fissure?

[@anitha8145]

I have been using laxative about 8 months ,but today my fissure is back

[@rachangoudapatilnidoni5058]

​@@anitha8145Hi Anitha, how are you now..... are you healed completely

[@wippendaal7445]

Is the fissurectomy same as houseflap plastia? If not, what is the difference? Are both as painful? Should I avoid the whole prosedure? My doctor suggested the houseflap plastia with my fissure. I do not want any surgery. I have suffered after botox injections and I do not want anyone to touch my anal canal ever again😳, but my chronic fissure is still there😪. I've already ordered my own Pranicura and use it every day. Thank You so much for all this information You share!!! ❤️

[@khalidalqoraish4181]

Did the pranicura healed your fissure or reduced the pain??

[@piyiotisc]

Hi Dr. I had hemorrhoidectomy and now i have a fissure. Do you still think a fissurectomy won’t help? I think there’s scar tissue from the hemorrhoidectomy and that is preventing healing of the fissure.

[@qasimnawaz2564]

I am having the same problem brother and it's so painful I hope you're ok now

[@piyiotisc]

@@qasimnawaz2564 not yet, I am having laxatives every day which helped a lot. I’ll do the botox in a few weeks. Hopefully it will solve jt eventually

[@qasimnawaz2564]

Praying for your speedy recovery I am going through hell right now it's been almost 50 days since my surgery and I've never experienced a painless bowel movement and the spasms after the bowel movement are just horrible I got a big cut down there I went to the doctor yesterday he said just continue with the stool softener antibiotics and sits baths but they aren't helping much. I pray that you get well soon and have your normal life back. Please keep me updated about the Botox injection.

[@piyiotisc]

@@qasimnawaz2564 for sure brother. The sitz bath are the best in combination with laxatives. Also, drink about 3L of water every day and don’t eat read meat, bread, fries etc. try to eat a lot of fiber and some chicken/fish.

[@qasimnawaz2564]

Tnx brother I will follow your advice Hoping to rid of this terrible pain soon

[@muhammadzaviyan7905]

my doctor suggested LIS surgery for fissure but i don't want to go for surgery and i have pain from last 6 months .kindly tell me what can i do i am very upset.

[@Amber-ki5iv]

Going on 7 months of chronic anal fissure. A month ago turned into an abscess and eventually fistula. I have surgery in 4 days. If these surgeries are a no go for you, what would you recommend? My life has been turned upside down for almost 7 months with excruciating pain. No other medical intervention has worked. I'm having a fistulotomy and fissurectomy with botox injections. I just want my life back. But hearing you say you would never do these surgeries... It feels hopeless.

[@oussamadjabali9306]

how are you doing

[@beniwal0109]

go for laser

[@Sweetie_744]

I had the fissurectomy. I feel much better

[@vinodalwani3906]

Sir I'm asking you 3rd time, why lasers surgery for piles is not popular in Europe and America, here in India 99% of doctors prefers laser surgery, i am suffering from this disease and I am confused,should i go for laser surgery, or i should go for open surgery, I have grade 3 piles

[@lubrisys]

Take constitution homeopathy

[@yourfriendlyproctologist]

the question is on the list. thanks for commenting!

[@Mindovermatter767]

@@yourfriendlyproctologist he is a very kind doctor however he doesn't provide answers to questions.

[@ety3144]

Wow... why isn't a fissurectomy done with laser more popular in the US? It seems popular in many other countries. I had the fissurectomy with stitches and its been so bad even though i eat mostly healthy. At some point it was too many smoothies making me go too many times and later too much brown rice or beans or dairy causing larger stools... Now I have two fissures...

[@frenchustube]

Nktypist. are you feeling better?

[@wanderernsp4885]

@NK Typist freeze coconut oil and apply in anas.. I came out..doing this.

[@ABHISHEKSHARMA-oc6vc]

@NKTypist95 bro don't lose hope, this situation will pass.

[@gisselrivera3456]

@NK Typist use effective castor oil and you will see in the name of god and heal

[@sumaiyahchowdhury9890]

I'm suffering from the same problem, I had a fissurectomy and a sphincterotomy and it's so painful, did you heal? If yes, how did you heal?

[@koushikmodak6930]

Sir with due respect, How many days to recover in lis surgery ? Am i go to my daily routine with in 15 days? Please sir help me out

[@behzadnazari1676]

It took me under a month to get rid of the fissure... but i got a skin tag.. and that Hurt for a both 2 months.. i still got the skintag but it doesn Hurt ... but sometimes bothering.. and have to keep BM soft

[@oussamadjabali9306]

@@behzadnazari1676 how are you doing

[@beniwal0109]

go for laser brother best option

[@SomeGal]

Do you do Botox?

[@HP_Quinn]

I had a hemorrhoidectomy and fissurectomy years ago. The recovery was miserable and I ended up getting anal stenosis. I can't pass anything thicker than my index finger.

[@oussamadjabali9306]

how are you doing

[@kausikhira4418]

This looks very painful.

[@rongiovagnoli7560]

Unfortunately I would never go through any of these procedures ! EVER