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Understanding Gradual Recovery After Laser Surgery for Fissures


Laser surgery for anal fissures offers a modern approach to healing a painful condition that affects many people. If you have consulted with Dr. Ghosh, Sr. Consultant Laparoscopic Surgery, and are preparing for this procedure, understanding the recovery process can ease concerns and help set realistic expectations. Recovery after laser surgery is a gradual journey, with each stage bringing you closer to comfort and full healing.

This post explains what to expect during recovery, how your body heals over time, and practical tips to support your healing process.


What Happens During Laser Surgery for Fissures

Laser surgery targets the fissure, a small tear in the lining of the anus, by using focused light energy to remove damaged tissue and promote healing. Unlike traditional surgery, laser treatment is less invasive, causing minimal damage to surrounding tissue. This precision reduces bleeding and lowers the risk of infection.

The procedure usually takes less than an hour and is often done under local anesthesia or mild sedation. After surgery, the treated area begins its healing process, which unfolds over several weeks.


Immediate Recovery: The First Few Days

Right after surgery, you may experience some discomfort, mild pain, or a burning sensation. This is normal and usually manageable with prescribed pain relief medications. You might notice slight swelling or minor bleeding during bowel movements.

Tips for the First Days

  • Keep the area clean: Gently wash with warm water after bowel movements. Avoid harsh soaps.

  • Use prescribed ointments: These help soothe the area and prevent infection.

  • Stay hydrated: Drinking plenty of water softens stools, reducing strain.

  • Eat fiber-rich foods: Fruits, vegetables, and whole grains promote smooth bowel movements.

  • Avoid heavy lifting or strenuous activity: Rest helps your body focus on healing.

Most patients find that pain decreases significantly within 3 to 5 days. If pain worsens or bleeding increases, contact your healthcare provider.


The First Two Weeks: Healing Progress

During this period, the laser-treated tissue begins to regenerate. The small wound made by the laser starts to heal, and new skin forms. You may still feel some tenderness or mild itching as nerves heal.

What to Expect

  • Gradual reduction in pain and discomfort

  • Less bleeding or spotting

  • Improved bowel movement comfort

  • Possible mild swelling or sensitivity

Supporting Your Recovery

  • Continue a high-fiber diet and hydration

  • Use warm sitz baths several times a day to ease discomfort and improve blood flow

  • Avoid constipation by using stool softeners if recommended

  • Wear loose, breathable clothing to reduce irritation

By the end of two weeks, many patients report a noticeable improvement in symptoms and increased comfort.


Weeks Three to Six: Tissue Strengthening and Full Healing

At this stage, the fissure site strengthens as new tissue fully covers the area. Scar tissue forms, which is part of the natural healing process. Most pain and discomfort should be gone, and normal activities can usually resume.

Important Considerations

  • Avoid straining during bowel movements to prevent reopening the fissure

  • Maintain good hygiene to prevent infection

  • Continue fiber intake and hydration to keep stools soft

  • Follow up with your doctor to monitor healing progress

Some patients may experience occasional mild discomfort during this phase, especially if bowel movements are irregular or hard.


Long-Term Care and Prevention

Once healed, it’s important to maintain habits that prevent fissures from recurring. This includes:

  • Eating a balanced diet rich in fiber

  • Drinking plenty of fluids daily

  • Exercising regularly to promote healthy digestion

  • Avoiding prolonged sitting or pressure on the anal area

  • Managing any underlying conditions, such as chronic constipation or diarrhea

If you notice any signs of fissure recurrence, such as pain during bowel movements or bleeding, consult your healthcare provider promptly.


When to Seek Medical Advice

While laser surgery generally leads to a smooth recovery, watch for these signs that require medical attention:

  • Severe or increasing pain after the first week

  • Heavy bleeding or blood clots

  • Signs of infection such as fever, swelling, or pus discharge

  • Difficulty passing stools or constipation lasting more than a few days


Early intervention can prevent complications and support better healing outcomes. Be in touch with Dr. Ghosh throughout the process of recovery, either by phone calls or by WhatsApp messages, to further support you in healing and recovery to an active lifestyle.


Call us for an appointment now!




 
 
 

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