{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T17:28:56Z","timestamp":1772213336269,"version":"3.50.1"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T00:00:00Z","timestamp":1772150400000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Chronic anal fissures (CAF) are painful and often resistant to medical therapy. While lateral internal sphincterotomy is effective, it carries a risk of incontinence. Laser Fissuroplasty (LaFiP) is a minimally invasive alternative gaining traction globally. We report two male patients aged 28 and 47\u00a0years, respectively, with CAF unresponsive to medical therapy. Both presented with severe post-defecation anal pain and were diagnosed with posterior midline fissures. LaFiP was performed under pudendal block using 350\u2013400 joules of energy from a 1470\u00a0nm diode laser. Postoperatively, both experienced rapid symptom resolution and complete healing within weeks, with no incontinence at 6-month follow-up. LaFiP appears to be a safe and effective technique for managing CAF, particularly suitable for patients at risk of incontinence. Although limited by a short follow-up of six months, initial results from these two cases were promising. Nonetheless, the long-term durability of the intervention requires further study.<\/jats:p>","DOI":"10.1093\/jscr\/rjag106","type":"journal-article","created":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T12:40:00Z","timestamp":1770468000000},"source":"Crossref","is-referenced-by-count":0,"title":["Laser-based treatment of chronic anal fissures: a report of two cases"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9821-8539","authenticated-orcid":false,"given":"Philemon K","family":"Kumassah","sequence":"first","affiliation":[{"name":"Department of Surgery, Korle Bu Teaching Hospital , Guggisberg Avenue, Accra , PO Box 77, Korle Bu, Accra,","place":["Ghana"]},{"name":"Department of Surgery, University of Ghana Medical School , Guggisberg Avenue, Korle Bu, Accra, PO Box 4236, Accra ,","place":["Ghana"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George D","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Surgery, Korle Bu Teaching Hospital , Guggisberg Avenue, Accra, PO Box 77, Korle Bu, Accra ,","place":["Ghana"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kwabena","family":"Agbedinu","sequence":"additional","affiliation":[{"name":"Department of Surgery, Komfo-Anokye Teaching Hospital , Bantama main road, Kumasi, PO Box 1934, Kumasi ,","place":["Ghana"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter C","family":"Ambe","sequence":"additional","affiliation":[{"name":"Department of Surgery, Korle Bu Teaching Hospital , Guggisberg Avenue, Accra, PO Box 77, Korle Bu, Accra ,","place":["Ghana"]},{"name":"Department of Surgery, Witten \/ Herdecke University, Alfred-Herhausen-Str. 50, 58455 , Witten ,","place":["Germany"]},{"name":"Department of General, Visceral, and Vascular Surgery, Klinik Oberwart , Dornburggasse 90, 4700, Oberwart ,","place":["Austria"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,2,27]]},"reference":[{"key":"2026022711503812500_ref1","doi-asserted-by":"publisher","first-page":"69","DOI":"10.7707\/HMJ.423","article-title":"Outcome of laser therapy in patients with anal fissure","volume":"9","author":"Fateh","year":"2016","journal-title":"Hamdan Med J"},{"key":"2026022711503812500_ref2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD002199.pub4","article-title":"Operative procedures for fissure in ano","volume":"2011","author":"Nelson","year":"2011","journal-title":"Cochrane Database Syst Rev"},{"key":"2026022711503812500_ref3","doi-asserted-by":"publisher","first-page":"231","DOI":"10.4240\/wjgs.v2.i7.231","article-title":"Innovations in chronic anal fissure treatment: a systematic review","volume":"2","author":"Poh","year":"2010","journal-title":"World J Gastrointest Surg"},{"key":"2026022711503812500_ref4","first-page":"0407","article-title":"Anal fissure (chronic)","volume":"2014","author":"Nelson","year":"2014","journal-title":"BMJ Clin Evid"},{"key":"2026022711503812500_ref5","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1136\/JRAMC-148-03-02","article-title":"The medical and surgical management of chronic anal fissure","volume":"148","author":"Garner","year":"2002","journal-title":"J R Army Med Corps"},{"key":"2026022711503812500_ref6","doi-asserted-by":"publisher","first-page":"1711","DOI":"10.1007\/S10103-015-1771-0","article-title":"A novel method of anal fissure laser surgery: a pilot study","volume":"30","author":"Esfahani","year":"2015","journal-title":"Lasers Med Sci"},{"key":"2026022711503812500_ref7","doi-asserted-by":"publisher","first-page":"953","DOI":"10.1007\/S10151-023-02859-2","article-title":"Laser interventions in coloproctology. A plea for standardized treatment protocols","volume":"27","author":"Ambe","year":"2023","journal-title":"Tech Coloproctol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/2\/rjag106\/67156873\/rjag106.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/2\/rjag106\/67156873\/rjag106.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T16:50:43Z","timestamp":1772211043000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag106\/8501301"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,31]]},"references-count":7,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,1,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag106","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,2]]},"published":{"date-parts":[[2026,1,31]]},"article-number":"rjag106"}}