Dr. Abhijit Gotkhinde – Fissure Specialist in Hadapsar, Pune
An anal fissure is a small tear or crack in the lining of the anal canal, often caused by the passage of hard stools, constipation, or diarrhea. This common condition can lead to significant pain during and after bowel movements, as well as rectal bleeding.
While many acute fissures heal on their own with conservative treatments like dietary changes, increased fluid intake, sitz baths, and topical ointments, chronic fissures lasting longer than six weeks may require medical interventions, including medications or even surgery in some cases, to promote healing and relieve discomfort. It is commonly seen in young patients.

Symptoms of Fissure
- Severe burning and pain during and after passing stool
- severe constipation Drop of blood or streak of fresh blood during defecation.
- sentinel piles (Tag of skin at the outer end of the anus)
- Itching
- Hard stool (pellet-like)
Cause of Fissure Treatment
- Hard stool
- surgical Procedure (Piles surgery)
- spincter hypertonia (spasm of anus)
- Repeated child birth
- Excessive use of ointments.
- Excessive use of laxatives.
Diagnosis of Fissure
- Per rectal examination with lignocaine jelly application.
- Proctoscopy is contraindicated because the condition is very painful. (If required can be done under general anesthesia)
About Dr. Abhijit Gotkhinde – Fissure Specialist in Hadapsar, Pune

Dr. Abhijit Gotkhinde
Consultant Laparoscopic, Robotic & Laser Surgeon
MBBS, DNB (GEN SURGERY), FMAS,
FIAGES, Fellow in Adv lap.
Dr. Abhijit Gotkhinde is one of the Qualified Laparoscopic, Robotic & Laser Surgeon in Hadapsar, Pune. He believes in delivering the most authentic and top-class services in Piles, fissures, Fistula Treatments also Hernia Treatments like Epigastric Hernia, Umbilical hernias, Epigastric hernia, Inguinal hernia, Femoral Hernia. He is the best Appendix doctor in Hadapsar, Pune.
He has extensive experience in GI & Colorectal surgeries. He has a special interest in Laparoscopic/Robotic surgery (cholecystectomy, Appendectomy, Hernia, Hysterectomy & Hiatal surgery) and minimal access to proctology surgery. (Piles, fissure & fistula).
Various types of Hernia occur in people. These hernias types include hiatus, incisional, and umbilical hernias. Symptoms are present in about 66% of people with Groin Hernias. So many treatments can be done for various Hernia Treatment within Laparoscopic/Robotic Surgery Treatment. After trying various methods without complete information and knowledge many people fail to achieve the desired Laparoscopic/Robotic Surgery or Laser Surgery for Hernia and Piles Treatment.