Fissure surgeons specialize in performing various surgical procedures to repair anal fissures that have not responded to conservative treatments. One common surgical option is a lateral internal sphincterotomy, where the surgeon makes a small incision in the internal anal sphincter muscle to reduce spasm and promote healing. This procedure helps to relieve pain and improve blood flow to the affected area, allowing the fissure to heal more effectively. Other surgical techniques, such as advancement flap repair or botulinum toxin injection, may also be considered based on the individual patient's condition and preferences.
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