Minimally Invasive Procedures for Fissure

Maher A. Abbas, MD
Compassion, Excellence, Integrity

Diplomate, American Board of Surgery

Diplomate, American Board of Colon and Rectal Surgery

Fellow, American College of Surgeons

Fellow, American Society of Colon and Rectal Surgeons

Honorary Fellow, Philippine Society of Colon and Rectal Surgeons

Honorary Member, Surgical Section Serbian Medical Association

“The best interest of the patient is the only interest to be considered…”W.J. Mayo, MD (Founder of the Mayo Clinic)


Dr. Maher Abbas is an American Board Certified Colon and Rectal Surgeon who performs the latest and most advanced procedures to treat conditions affecting the small intestine, colon, rectum, and anus.  He is a leader in minimally invasive and endoscopic surgery. With over 18,000 operations and procedures experience, he provides state of the art treatment to his patients.


What is the best treatment for anal fissure?

Anal Fissure is common.  The good news is that the majority of patients can be treated medically without the need for a procedure or surgery.  Dr. Maher Abbas believes in customizing the care according to the needs of the patient.  He recommends to each patient what is best based on a personalized approach.    Dr. Maher Abbas advises a procedure or an operation when the symptoms are very severe, recurrent, or for patients who do not improve with medications.   When an intervention is needed, a minimally invasive procedure is considered for patients who can benefit from it.


What are the benefits of minimally invasive procedures for anal fissure?

Minimally invasive procedures yield many benefits including less pain, faster recovery, and earlier return to work.   Some interventions are done in the office without the need for hospitalization and patients can return to work the day following office based procedures.  For procedures performed in the operating room, most patients go home within 24 hours of the procedure and are back to work within 1 week.


What are minimally invasive procedures for anal fissure?

There are 2 types of minimally invasive procedures for anal fissure:

    1. Office based interventions. Anal dilation and Botox® injection can be performed in the office.  The goal is to gently stretch and relax the anal muscle to allow the fissure to heal.  The risks are minimal.    Post-procedural care includes Sitz Bath for 1 to 2 days, acetaminophen pills (Tylenol, Adol, Panadol) if any discomfort, and keeping the stool soft with High Fiber Food and Fiber Supplements.

    2. Operating room procedures. For some patients Botox® injection into the muscle is done in the operating room along with scraping of the fissure (fissurectomy).  Prednisone injection into the fissure area is an alternative procedure that can be performed along with anal dilation.  Laser fissure treatment is another option for some patient.


Is every patient a candidate for minimally invasive procedures for anal fissure?

A minimally invasive procedure for anal fissure is a good option for some patients.  Dr. Maher Abbas assesses each patient to determine whether a minimally invasive approach is advisable.


Why seek expert care with a board certified proctologist and colorectal surgeon?

The anal area is a delicate part of the body.  It is important to seek care to heal, relieve symptoms, and to exclude other more serious causes of anal symptoms.  The expertise of the doctor is critical in order to ensure the best result and minimize the risk of recurrence, non-healing, infection, and developing any weakness in the anal muscle.  Proctology is a highly specialized field.


Dr. Maher Abbas is an expert in the treatment of diseases of the colon, rectum, and anus.  With over a 30-year career in the USA, he has completed advanced training in Proctology and is American Board Certified in Colon and Rectal Surgery.  Dr. Maher Abbas is a Fellow of the American Society of Colon and Rectal Surgeons.

If you would like to schedule a consultation with Dr. Maher Abbas to discuss your case, click here.


Contact Us

    Preferred location for appointment
    King’s College Hospital London, DubaiAl-Zahra Hospital, DubaiNo location preference

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