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Fistula Treatment

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Overview

Depending on the complexity of the fistula, different techniques are used in fistula surgery to treat anal fistulas. For the fistula tract to heal, a fistulotomy entails cutting it open and flattening it. A thread is used in seton installation to maintain the tract open for progressive healing. Repairing a flap entails covering the fistula with adjacent tissue. A bioprosthetic plug is inserted into the tract using a fistula plug. Licaturing the fistula between the sphincters is part of the LIFT technique. Patients may have discomfort, swelling, mild bleeding, and changes in their bowel motions after surgery; these side effects can all be controlled with the right attention and treatment.

What are the types of fistula surgery ?

Anal fistulas can be treated with a variety of surgical techniques, depending on their location and degree of complexity:

  • Fistulotomy:

    • Description: The most common procedure for simple fistulas.
    • Method: The fistula tract is opened, laid flat, and allowed to heal from the inside out.
  • Seton Placement:

    • Description: Used for complex or high anal fistulas.
    • Method: A seton (a piece of thread) is placed through the fistula tract to keep it open and allow gradual healing.
  • Flap Repair (Advanced Flap or Rectal Flap):

    • Description: Suitable for complex or recurrent fistulas.
    • Method: Tissue from a nearby area is used to cover the fistula tract and promote healing.
  • Fistula Plug:

    • Description: A less invasive technique for certain fistulas.
    • Method: A bioprosthetic plug is inserted into the fistula tract to act as a barrier and facilitate healing.
  • LIFT Procedure (Ligation of Intersphincteric Fistula Tract):

    • Description: Targets complex fistulas.
    • Method: The fistula tract is divided between the internal and external sphincters and ligated (tied off).

Symptoms

Following fistula surgery, you could feel like you have the following symptoms:
  • Pain and Discomfort
  • Swelling and Bruising
  • Bleeding
  • Discharge
  • Difficulty Passing Stool
  • Itching or Irritation
  • Increased Urgency
  • Nausea
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