FISSURE NON SURGICAL TREATMENT

What We Do

Team LivGastro provides utility based model of care that integrates specialists, primary care , laboratory, imaging and other health services to give patients a convenient and superior outcome along with a pleasant experience. Since we primarily focus on outdoor-patient care, on the site instant testing along with detailed and accurate results, we enable our patients and their families save
a lot of effort, time and money.

FISSURE NON SURGICAL TREATMENT

What Is A Fissure (Anal Fissure)?

A fissure, or rather an anal fissure is a painful ulcer occurring in the posterior midline of the skin before its entry to the rectum. It may also be described as a cut or tear in the anus that extends to the anal canal. Fissures are not uncommon in both sexes, the common factor being bleeding and pain or spasm.

What Are The Symptoms Of A Fissure?

The customary symptoms of an anal fissure are pain, accompanied by bleeding during and after bowel movement. In many cases, people fear to visit the toilet, trying to avoid defecation.

What Causes A Fissure?

Many things can cause anal fissure. As a matter of fact, anything that irritates the inner lining of the anus can give rise to a fissure. However, in most cases, passing very hard stool is considered to be the raison d’ être behind formation of a fissure. Recurring diarrhea (Chronic type) can also cause fissure

What Is Non-Surgical Fissure Treatment?

Treatment of fissure with infrared laser (Electrocautery) is considered as one of the few non-invasive line of treatment. In fact, the radiowave excision and treatment of chronic anal fissure is a potential painless alternative to classical surgery.

Elimination of the anal fissure with the help of radio wave machine ‘Surgitron’ can be accomplished sans in cutting operation, while contactless radio frequency method takes care of evaporation of scar formation in a matter of few minutes.

What Is Radio Surgery And What Are Its Benefits?

Radio surgery can just be termed as an electro surgery at radiofrequency. The term ‘radio’ is used because the frequency of the device creating these waves is analogous to radiowave frequency used for broadcasting. However, it is necessary here to rule out misconception about radio surgery by discussing two other, older modalities such as, ‘electrocautery’ and ‘hyfrecation’ that are quite different from radio surgery.

Electrocautery entails the passing of low frequency, low voltage, and low wattage alternating current (0.5 – 1.5 MHz) through the electrode, which resists the flow of current and so turns hot. In electrocautery, the heat [rather than the radio wave] is transferred to the soft tissue by convection. Massive cell destruction results from the application of cautery and the destruction caused by this cauterization are equivalent to that of a third degree burn.

While in hyfrecation, a highly modulated high frequency current of low wattage and high voltage is supplied to the electrode, and the surface of the tissue is burnt by a spark, which is produced between the tip of the electrode and the tissue. Its effect is mainly superficial and it cannot be used to incise the tissue.

Radiofrequency energy , on the other hand, is now being extensively used in many different medical applications that include treatment of anal fissure for its ability to achieve a precise and controlled thermal ablation of soft tissue. The heat for this ablation is generated by a natural resistance of the tissue, which comes in the path of the waves released through the electrode tip of the device. The cellular water in the soft tissues gets heated and when the temperature reaches 1000C, it starts boiling and produces steam, which results in cellular molecular dissolution of individual tissue cells. The cells exposed to these waves are destroyed while the surrounding tissues remain unaffected. This property of radiofrequency eliminates the possibility of undue damage to the normal tissues surrounding the fissure, while improving the surgical precision.

Conclusion

Currently, radio surgery is considered the best non-invasive line of treatment for anal fissure as it does not create loss of blood, while chances of relapse is practically nil. Besides, there are no side effects and the patient can go home the next day.

INSTA UPDATE @LIVGASTRO

Based on 43 reviews.
Shiv kumar Thakur
Shiv kumar Thakur
2022-01-09
Dr. Vijay rai is the best doctor.
PRANAB BARIK
PRANAB BARIK
2022-01-09
Dr, rai is the best person , the best place to visit,
Prabir Das
Prabir Das
2022-01-09
Dr Rai is the best doctor we have come across but reception staffs is poor,
saurwita brahma
saurwita brahma
2021-12-31
Good place. Safe and secured. Good treatment. Doctor is deft and experienced. All other staff are cooperative and supportive
Prodip kumar Majumder
Prodip kumar Majumder
2021-12-30
Satisfied
Sanjiv Singh
Sanjiv Singh
2021-12-30
Very good clinic for all stomach issues under the supervision of one of the best doctor and excellent staff
Rajeev Singh
Rajeev Singh
2021-12-29
Visiting a clinic is not a good feeling but thanks to Dr Vijay Rai and Monica Rai mai it is a releiving experience due to satisfactory treatment and awesome service, kudos to Live Gastro and blessings
THERESA MENDES
THERESA MENDES
2021-12-26
To those of you who may have a gastric issue and want a masterclass Gastroenterologist who builds excellent rapport with his patients, you could do well to meet Dr Vijay Kumar Rai of Liv-Gastro. Dr Vijay Kr Rai is hands down one of Kolkata’s best Gastroenterologists. His presentation of self, decorum, services and treatment processes are definitely top notch. Undoubtedly he represents one of the best health care professionals in his field. Dr. Vijay Kr. Rai’s newest venture Liv-Gastro is testimony of his hard work, grit, innovative ideas and determination to bring the best into his arena of practice; in order to achieve maximum treatment options thereby leading to positive outcomes. He has worked relentlessly with steadfast intent and passion to build and expand on his ideas and Liv Gastro is evidence of all that and more. A tour of the campus and floors reveal pristine, cheerful, brightly lit, consultation rooms, diagnostic laboratories, examination rooms, Dr’s clinics, waiting rooms and reception. The warm decor where detailed attention has been given to ensure a patient friendly ambience and the kind, courteous and graceful staff all add to a cheerful exuberance. Some of the services offered are: 1.Day care 2. ERCP 3.EUS 4.Capsule Endoscopy 5. Manometry 6. Fibroscan Dr Vijay Kumar Rai is a very supportive Dr who takes his patients seriously putting their needs first. He has a well rounded knowledge and expertise in his area of practice and inspires confidence. As a patient I was always sure of quality management of my condition and his ability to zero in on the problem is truly amazing. His persistence in dealing with my health issues has been accurate and he has seen me right through to recovery refusing to give in. I could not ask for more. It’s great to find a Dr who combines care and concern along with the prescription which always leaves one with a “feel good”feeling. I do not hesitate to recommend Dr. Vijay Kumar Rai and the team at Liv Gastro to friends and wider circles.