Back to RegistryChief Complaint Severe pain during defecation with streak of blood Duration of Symptoms 1 weeks Diagnosis Chronic Posterior Anal Fissure
Planned Treatment Fissurectomy
RN
Rahul Nair
Under Follow-upPT-10274MRD/2026/211136 yrs · Male+91 71656 13708Trivandrum
Blood Group
O+
BMI
20.0
Surgeon
Dr. Vivek Bhaskar
Surgery Date
25 Jun 2026
Patient Information
- Full Name
- Rahul Nair
- Age / Gender
- 36 yrs · Male
- Contact
- +91 71656 13708
- MRD Number
- MRD/2026/2111
- Blood Group
- O+
- City
- Trivandrum
- Admission Date
- 23 Jun 2026
- Anaesthesia
- Spinal
- BMI
- 20.0
Clinical Findings
Symptoms
Painful defecationSphincter spasm
Past Medical History
Chronic constipationDiabetes Mellitus Type 2
Investigations
| Test | Result | Status |
|---|---|---|
| Complete Blood Count | Hb 14.1 g/dL | Normal |
| MRI Pelvis / Fistulogram | No abnormal tract | Normal |
| Proctoscopy | Grade III piles | Abnormal |
| Histopathology | Benign, no malignancy | Normal |
Surgery Details
- Procedure
- Fissurectomy
- Surgeon
- Dr. Vivek Bhaskar
- Anaesthesia
- Spinal
- Duration
- 76 min
- Blood Loss
- 51 ml
- Date
- 25 Jun 2026
Operative Note
Lateral internal sphincterotomy performed; sentinel tag excised.Post Operative Notes
Patient tolerated procedure well. Vitals stable. Shifted to ward in satisfactory condition.
Follow Up History
- 05 Jul 2026Pain score: 7/10Recovery: SatisfactoryMedication: Diosmin + Hesperidin
Advised high-fiber diet
- 13 Jul 2026Pain score: 4/10Recovery: On trackMedication: Diclofenac SR
Advised high-fiber diet
Diagnosis & Treatment
Primary Diagnosis
Chronic Posterior Anal Fissure
Anal Fissure
Next visit: 26 Jul 2026
Complications
No complications recorded — uneventful recovery.
Attached Images
Pre-op Photo
MRI Scan
Histopath
Post-op Photo
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