# Fissurectomy

Fissurectomy

Surgical excision of  a fissure involves excising of  the fibrotic edge, curettage of  the base and excision of  the sentinel tag and/ or anal papilla. Fissurectomy is an alternative to lateral internal sphincterotomy and is used if  there are contraindications to lateral internal sphincterotomy . It is frequently combined with an advancement flap anoplasty .