by Fissulyna » 01 Apr 2008, 17:01
Yeah, but they all loose focus that those 90% are acute fissures and they heal in couple of weeks the most and mostly without any special treatment. The chronic fissure (one that lasts more than couple of months) needs more aggressive approach - special creams, botox and dietary modifications. OF THOSE chronic ones about 90 % heal in 6 to 12 week period with creams or Botox and such. Now, we are talking about ULTRA chronic ones , LOL, that last more than couple of months regardless of creams etc. In my opinion, those are candidates for the LIS and any doctor refusing doing that after patient tried everything is negligent or uninformed about statistics. The longer one has chronic fissure the higher chance of infection, scar tissue formation, and the harder it is for fissure to heal even after LIS !!! I was warned by 2 CRS that one should not wait longer than a year because scar tissue and granulation starts to form and it prevents healing even after surgery. I had my fissure for only 5 months and CRS already did find some extra tissue forming (edges of fissure were not smooth so he performed fissurectomy too). I hated him for doing so , but now that I am more informed I am glad that he did it. It made optimal conditions for my fissure to heal completely and close any space under it so no infection would start there.
I hope that you will heal soon !