According to Fistula Treatment Experts, Fistula-in-Ano or anal fistula is an abnormal opening on the buttocks, other than the natural opening. This is usually the result of the previous or the present abscess which has failed to heal completely. It is more like a small bypass/ ring-road with one opening inside the anal canal and another outside, on the skin of buttocks.
There are different types of fistulas, classified majorly as Simple and Complex fistulas.
The most common cause of fistula is a sequel of previous abscess or pus cavity. The pus formation is a result of an anal gland infection. When this abscess fails to heal completely, with or without treatment, a fistula is formed. This track will get some stool pieces entering the track from time to time, leading to infection and frequent mucus discharge. This makes it a non-healing wound.
Some diseases can also cause fistula including
This is a surgical fistula treatment 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. Fistulectomy carries with the risk of damage to the sphincter muscle, resulting in fecal incontinence and is usually the treatment option for Complex types of 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.
This technique is minimally invasive and sphincter-saving technique for treating complex fistulas.
A video telescope aides our expert fistula 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 a lithotomy position after giving a spinal or general anesthesia.
At Kalp Hospital, we use the LIFT procedure for the treatment of 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.
The aim of FiLac technique is to gently remove the fistula tract without damaging the sphincter muscle. The procedure makes use of Leonardo Laser. While the patient takes general anesthesia, the procedure is completed within 30 to 40 minutes.
At Kalp Hospital GASTROENTEROLOGY – a unit of Kalp Hospital, we deploy a combination of the world’s best options to give you the Best Fistula Treatment. In general, we employ a combination of Laser Therapy with the LIFT technique, which is the best result oriented therapy so far, that involves very fewer chances of recurrence.
And since these are minimally invasive techniques, there is absolutely no chance of sphincter/ valve damage leading to loss of bowel control.