Whaat is Fistula?
Fistula in ano or anal fistula is an abnormal opening on the buttock’s other than the natural opening . This is usually the result of a previous or a present abscess which has failed to heal completely.It is more like a small bypass/ringroad with 1 opening inside the anal canal and other outside on the skin of buttocks
Types : There are various types of fistulas . For simple understanding they are broadly classified as Simple and Complex fistulas.
Causes & Symptoms
Causes:The most fistula is a sequel of a previous abscess or pus cavity. The pus formation is the result of an anal gland infection. When this abscess fails to heal completely, with or without treatment, a fistula develops. This track will get some stool pieces entering the track from time to time leading to infection and pus/ mucus discharge again and again this makes it a non-healing wound. No fistula can be treated without surgery.
Symptoms:There is another opening in the buttock’s skin other than the natural opening. Pus/ mucous discharge on and off. Itching and redness around the opening.
Treatments for Fistula
There are various treatments which are being done to cure fistula.
Ksharsutra for Fistula is one of the successful Ayurveda treatment method with high success rate. Kshar Sutra (Seton) is an ayurvedic para surgical therapy for the management of anorectal disorders. >> Know More
This is a surgical procedure in which the fistula tract is completely cut out. With General anesthesia, the fistula tract is removed and the groove that is formed is left behind to heal.
This procedure carries with the risk of damage to the sphincter muscle resulting in fecal incontinence. And is usually use as a treatment option for Complex fistula.
During the fistulotomy, your doctor will make an incision in your body to open up the abnormal connection between the two organs. This could potentially cause some complications following the surgery, including bowel incontinence (if the anus or rectum is involved), abscess or recurrence of the fistula.
VAAFT ( Video Assisted Anal Fistula Treatment)
This technique is minimally invasive and sphincter-saving technique for treating complex fistulas.
A video telescope allows surgeons to see inside the fistula tract. A unipolar electrode for the internal tract. This connects to a high-frequency generator during this procedure. Also a fistula brush and forceps for cleaning the tract and clearing any granulation tissue.
During this procedure, the patient should be in lithotomy position after giving a spinal or general anesthesia.
LIFT procedure is usually for Complex fistulas. Firstly, a seton is kept in the fistula tract, forcing it to widen over time. So after a few weeks, the surgeon removes the infected tissue and closes the internal fistula opening.
The advantage of LIFT procedure is that the fistula access between the sphincter muscles thus avoiding cutting them.FiLAC (Fistula-tract Laser Closure)
FiLac technique uses the Leonardo Laser. Because the aim of the procedure is to gently remove the fistula tract without damaging the sphincter muscle. So the patient takes general anesthesia and requires about 30-40 minute to finish the procedure
At Bengaluru Smiles – a unit of SIICP, we do a combination of the world’s best treatment options to give you the best results. We frequently employ of combination Laser Therapy with LIFT technique which is the best result oriented therapy so far and with the least amount of recurrence. Also since these are minimally invasive techniques, there is absolutely no chance of sphincter/valve damage leading to loss of bowel control.