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Fistulotomy is a targeted surgical intervention designed to effectively treat and resolve anal fistulas for relief from discomfort and prevention of further infection. This procedure involves precise surgical techniques to open and drain the fistula tract, promoting optimal healing and recovery. If you are suffering from symptoms associated with anal fistulas that impact your quality of life, consider consulting with Pristyn Care’s experienced team of surgeons. They specialise in employing modern fistulotomy methods as per each patient's specific needs. Schedule your consultation with Pristyn Care today to receive expert care.
Fistulotomy is a targeted surgical intervention designed to effectively treat and resolve anal ... Read More
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A fistulotomy is a surgical procedure aimed at treating an anal fistula, which is an abnormal connection between the epithelialised surface of the anal canal and the perianal skin. The fistulotomy surgery involves cutting open the fistula tract to allow it to heal from the inside out. A colorectal surgeon, who specialises in disorders of the rectum, anus, and colon, typically performs this procedure.Â
The necessity of a fistulotomy stems from its ability to effectively heal the fistula, which reduces symptoms such as pain and discomfort, and prevents recurrent infections. The benefits of this anal fistula treatment include a high success rate and a significant reduction in the likelihood of the fistula returning.
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The specific type of fistulotomy depends on the location and complexity of the fistula. Here are the main types:
LIFT (Ligation of Intersphincteric Fistula Tract) Procedure: This newer technique aims to close the internal opening and remove the infected tissue without damaging the anal sphincters. Surgeons perform this procedure from within the intersphincteric plane.
Before planning a fistulotomy, doctors need to diagnose the type and extent of the fistula accurately. They use several methods to do this:
Fistulotomy is a surgical technique used to treat anal fistulas, which are abnormal tunnels between the anal canal and the skin. This fistula drainage procedure involves several steps, each aimed at effectively resolving the issue while ensuring the patient’s comfort and recovery. Here’s what one can expect during the procedure:
Recovery: After the surgery, the patient will receive care instructions, including how to manage pain and keep the area clean. Follow-up appointments are crucial to monitor the healing process.
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Fistulotomy is an effective anal fistula treatment for many, but it is not suitable for everyone. The ideal candidates for this surgery are individuals who meet specific criteria. Here’s what makes someone a good candidate:
Knowing the Risks: Candidates should understand the potential risks, such as incontinence, and discuss these thoroughly with their surgeon to make an informed decision.
Fistulotomy surgery is considered the best surgery for anal fistula because it directly addresses the source of the problem with a high success rate. Here are the detailed benefits of this procedure:
Short Hospital Stay: Most fistulotomy procedures are performed as day surgeries, meaning the patient can return home the same day, reducing the impact on their daily life.
Preparing for a fistulotomy involves several steps to ensure the surgery goes smoothly and to maximise the chances of a successful outcome:
Arrange for Assistance: Plan for someone to drive you home after the procedure and help around the house as you recover.
After undergoing fistulotomy, proper care is crucial for a swift and smooth recovery. Here’s what to expect and several recovery tips:
By adhering to these tips, you can ensure a smoother fistulotomy recovery time and reduce the risk of complications.
Like any surgical procedure, fistulotomy surgery comes with potential risks and complications. Here are some of the key concerns:
It’s important for patients to discuss these potential risks with their surgeon before undergoing fistulotomy surgery to understand fully what the procedure entails and how these risks apply to their specific situation.
Fistulotomy is considered a minor to moderate surgical procedure, depending on the complexity and location of the fistula. It is usually performed on an outpatient basis, meaning patients can go home the same day. The fistulotomy surgery aims to open up and clear the fistula tract to promote healing and prevent infection.
The fistulotomy procedure involves making an incision over the fistula to open it. The surgeon then cleans out the tract and flattens it out to heal from the inside out. This is done under anaesthesia, and the patient usually returns home on the same day.
The main difference is that fistulotomy involves splitting the fistula open and allowing it to heal into a flat scar, whereas fistulectomy involves completely removing the fistulous tract. Fistulotomy is generally less invasive and carries a lower risk of affecting sphincter muscles.
Yes, you can walk after a fistulotomy. Walking is actually encouraged as it promotes blood flow and helps prevent complications such as blood clots. However, you should avoid strenuous activities until your doctor advises that it is safe to do so.
The cost of a fistulotomy in India can vary widely but generally ranges from ₹30,000 to ₹1,00,000. Factors affecting the price include the hospital’s location, the surgeon’s expertise, and the complexity of the procedure.
Fistulotomy may or may not require stitches. In many cases, the wound is left open to heal from the inside out to reduce the risk of infection. If stitches are used, they are typically placed to help close the skin over the fistula tract.
Yes, there is a chance that a fistula can recur after a fistulotomy, especially if the entire tract is not completely cleared or if it heals improperly. Recurrence rates vary depending on the specific circumstances of the surgery and the patient’s condition.
A fistulotomy can be painful post-operatively, but the pain is generally manageable with medications prescribed by your surgeon. The level of pain can vary depending on the individual’s pain threshold and the specifics of the fistula treated.
Fistulotomy surgery is generally very successful, with success rates ranging from 85% to 95%. Success depends on the type of fistula, the skill of the surgeon, and proper post-operative care. It is effective at relieving symptoms and reducing the risk of recurrence.
To avoid fistula recurrence, follow your doctor’s post-operative instructions closely, which include keeping the area clean, avoiding constipation, and managing any underlying conditions like Crohn’s disease. Regular follow-ups with your doctor are crucial to monitor healing and intervene early if any issues arise.
