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Perianal Fistula Repair Surgery Treatment in India

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Recommended Doctors for Perianal Fistula Repair Surgery View All View All

Dr Jagdish Chander
Dr Jagdish Chander

Director - General Surgery

CONSULTS AT

Jaypee Hospital +1

EXPEREIENCE :
31 years
SURGERIES :
30000+

Treatment Starting at $3,500

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Treatment Starting at $3,500

Dr Jagdish Chander
Dr Jagdish Chander

Director - General Surgery

CONSULTS AT

Jaypee Hospital +1

EXPEREIENCE :
31 years
SURGERIES :
30000+
Dr. Ahmet Denizli
Dr. Ahmet Denizli

General Surgery

CONSULTS AT

Medicana Camlica Hospital

EXPEREIENCE :
19 years
SURGERIES :
NA

Treatment Price on request

Free Text Consult

Treatment Price on request

Dr. Ahmet Denizli
Dr. Ahmet Denizli

General Surgery

CONSULTS AT

Medicana Camlica Hospital

EXPEREIENCE :
19 years
SURGERIES :
NA

Introduction

Perianal fistulas are painful and distressing conditions that affect many individuals worldwide. If you or someone you know is suffering from this condition, you may be considering perianal fistula repair surgery as a viable treatment option. In this blog, we will delve into what perianal fistulas are, explore the surgical approach to treating them, and shed light on the recovery process.

What is a Perianal Fistula?

A perianal fistula is an abnormal tunnel-like tract that forms between the skin near the anus and the anal canal. It typically results from an infected anal gland that fails to heal properly. The condition often causes discomfort, pain, swelling, and drainage of pus or other fluids. Perianal fistulas can severely impact a person's quality of life, affecting daily activities and causing emotional distress.

When is Surgery Recommended?

Perianal fistulas can be complex and challenging to treat. While some may respond to conservative treatments like antibiotics, sitz baths, and dietary changes, surgery is often necessary for a long-term solution, especially in cases of chronic or recurrent fistulas.

Surgical intervention is typically recommended under the following circumstances:

  • Failure of Conservative Treatments: If conservative measures do not lead to significant improvement or complete healing, surgery may be considered.
  • Recurrent Fistulas: Recurring fistulas that do not resolve with non-surgical treatments may require surgical management.
  • Complex Fistula Anatomy: Fistulas that have multiple tracts, high or low in the anal canal, or associated with other complications may require surgery.
  • Abscess Formation: When an abscess (a painful collection of pus) develops in association with the fistula, drainage of the abscess and surgery for the fistula repair may be necessary.

The Perianal Fistula Repair Surgery

Perianal fistula repair surgery aims to remove the abnormal tract, promote healing, and prevent future recurrences. There are several surgical techniques available, and the choice of approach depends on the complexity of the fistula and the surgeon's expertise.

1. Fistulotomy: This is a common surgical procedure where the surgeon cuts open the fistula tract, allowing it to heal from the inside out. Fistulotomy is typically used for simple, low fistulas.

2. Advancement Flap Repair: This technique involves using nearby healthy tissue to cover the fistula opening and promote healing. It is often used for higher or more complex fistulas.

3. Seton Placement: A seton is a piece of thread-like material that is placed through the fistula tract to keep it open. This helps drain the infection and allows the surrounding tissue to heal. Seton placement is often used for complex or deep fistulas.

4. Fibrin Glue Injection: In this approach, a special medical glue is injected into the fistula tract to seal it off. It is suitable for certain simple fistulas but may not be appropriate for all cases.

Recovery and Postoperative Care

Recovery from perianal fistula repair surgery can vary depending on the complexity of the procedure and the individual's overall health. Some general postoperative care guidelines include:

  • Pain Management: Pain and discomfort are common after surgery. Pain medications prescribed by the surgeon can help manage this discomfort.
  • Wound Care: Keeping the surgical area clean and dry is crucial for proper healing. Your surgeon will provide instructions on wound care and dressing changes.
  • Dietary Recommendations: Eating a fiber-rich diet and staying hydrated can help prevent constipation and ease bowel movements, reducing strain on the healing area.
  • Avoiding Strain: It's essential to avoid heavy lifting and strenuous activities during the healing process.
  • Follow-up Visits: Regular follow-up appointments with the surgeon are essential to monitor the healing progress and address any concerns.

Conclusion

Perianal fistula repair surgery is a valuable treatment option for individuals suffering from complex or recurrent perianal fistulas. While the surgery and recovery may seem daunting, seeking appropriate medical attention and adhering to postoperative care instructions can lead to a successful outcome. Remember, every case is unique, and it is crucial to consult with a qualified surgeon to determine the most suitable treatment approach for your specific condition. The goal of perianal fistula repair surgery is to alleviate pain, promote healing, and improve your overall quality of life.

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FAQs

Perianal fistulas are often caused by infections in the anal glands that do not heal properly. Other potential factors include inflammatory bowel diseases (such as Crohn's disease), trauma to the anal region, and conditions that weaken the immune system.
While surgery is a common and effective treatment for perianal fistulas, conservative measures like antibiotics, sitz baths, and lifestyle changes may be attempted first. However, if these treatments do not lead to improvement, surgery might be necessary.
Recovery time can vary depending on the complexity of the surgery and individual healing capabilities. In many cases, patients can resume normal activities within a few weeks, but complete healing may take several months.
Pain and discomfort are common after perianal fistula repair surgery. Your surgeon will prescribe appropriate pain medications to help manage the discomfort during the initial healing period.
Like any surgical procedure, perianal fistula repair surgery carries certain risks, such as infection, bleeding, or recurrence of the fistula. However, with proper surgical technique and postoperative care, these risks can be minimized.
While surgical repair aims to eliminate the fistula, there is a possibility of recurrence, especially in cases of complex fistulas or underlying conditions like Crohn's disease. Regular follow-up visits with your surgeon are essential to monitor healing and address any signs of recurrence promptly.
The timeline for resuming normal activities varies based on individual healing and the complexity of the surgery. Simple fistulotomies may allow for a quicker return to regular activities, while more complex procedures might require more extended rest and recovery periods. It's essential to follow your surgeon's guidance and gradually ease back into activities to avoid complications.

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