Anocutaneous flap

• Fissurectomy
• Two parallel longitudinal incisions of the skin and preparing a rectangular skin flap which was raised and separated from the subcutaneous tissue
• Sutured with continuous monocryl
• Side effects - flap failure, recurrence, pain
• Useful for low pressure fissures

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8803790/#:~:text=Anocutaneous%20advancement%20flap%20is%20a%20very%20safe%20sphincter%2Dsparing%20surgical,fissures%20if%20medical%20treatment%20failed.