Surgery for Anal Fissure Periprocedural Care

Updated: Jun 28, 2022
  • Author: Vassiliki Liana Tsikitis, MD, MCR, MBA, FACS, FASCRS; Chief Editor: Kurt E Roberts, MD  more...
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Periprocedural Care


Equipment employed in anal fissure surgery includes the following:

  • Anoscope
  • Pratt bivalve speculum
  • Scalpel
  • Dissecting scissors
  • Hemostat clamps
  • Electrocautery
  • Suture, 3-0 chromic catgut

Patient Preparation

The procedure is typically done with local anesthesia using 0.5% bupivacaine with epinephrine 1:100,000. General anesthesia may be required for difficult cases or for anxious or uncooperative patients.

The patient is placed in a prone jack-knife position with the buttocks strapped apart.