Anal fissures typically don't require surgery because they just look like a cut or rip in the anus. In some circumstances, anal fissure surgery is necessary when medical treatment for the fissure is unsuccessful. If the fissure lasts longer than 8 weeks, an anal fissure procedure is performed. It is frequently recommended for cases of chronic and some acute anal fissures. An acute fissure that is not healed by medicinal treatment requires surgical intervention. Few of these chronic fissures heal on their own, therefore the presence of one is another sign that surgery is necessary. Impaired fecal continence, which surgery may make worse, is the main factor against surgery for an anal fissure. Patients are primarily affected by this contraindication.
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