What is Fistula Surgery?
Fistulas can be a common and severe side effect of Crohn’s disease. Fistulas are a side effect of fiery stomach illness (IBD), and they can recur.
Research has shown that fistulas can influence as much as 50% of those living with IBD within 20 years.
Fistulas are a rare association of two parts of the body.
- Between the rectum and the vagina
- Between the bladder and digestive tract
- Between the skin and butt
Side effects can vary depending on the location. While some minor fistulas may be treated with anti-toxins and others require careful intercession, most will not. A fistulotomy is a procedure that allows the fistulas to heal properly.
Fistula Treatment
It is important to understand the entire pathology of a butt-centric fistula before you can offer any kind of Fistula treatment. The channel’s kickoff at the skin (outer), is a region with a reddish, aroused area that could overflow blood and discharge. It is easy to recognize this outer opening.
It is difficult to find the fistula opening (inward opening) in the butt. Experts at Mayo use the latest innovation, which includes the following:
- The X-ray can be used to plan the fistula plot, give point-by-point images of the sphincter muscles and other designs of the pelvic floor.
- Endoscopic ultrasound uses high-recurrence sound waves for the detection of the fistula, sphincter muscles and surrounding tissues.
- After a differentiation arrangement has been infused, fistulography is an X beam of the fistula.
There are many options:
- Fistula test is an instrument that can be embedded through fistulas.
- Anoscope is a tiny endoscope that was used to view the butt-centric waterway.
- Adaptable sigmoidoscopy is a method to prevent different conditions such as Crohn’s disease and ulcerative colitis.
- A color combination that is infused with colors, which may help to locate the fistula opening.
Fistulotomy
This method is used in most cases (85% to 90%). This is where the specialist opens the entire fistula to flush out the substance. As a leveled wound, it takes a while to heal. It is normal for fistulas to not have gone through a lot of the sphincter muscles. This increases the risk of entrail infection.
Methods of setting on
This is usually done when the fistula has reached a large portion of the butt-centric Sphincter muscle. To keep the fistula open, the specialist inserts a seton (a string piece) inside the fistula. It allows the fistula to gradually heal and deplete its contents. It does not try to harm the sphincter muscles. To cut through the fistula delicately, a tighter Seton can be used. This requires many strategies and activities.
Methodology for advancement fold
This strategy can be used if the fistula is in a problematic area. It passes through the butt at the sphincter muscle. Fistulotomy is a dangerous system that could cause incontinence. The progression fold, or tissue around the rear-end of the rectum, is taken from there. This fold is responsible for the kickoff of the fistula (the fistula). This technique is feasible in 70% of cases, despite having a lower success rate than fistulotomy.
Methodology of LIFT
It is the Ligation of Intersphincteric Fistula Tract. This treatment is recommended for fistulous who pass through the sphincter muscle of the rear-end. The sphincter muscles of the rear-end are removed and a small cut is made along the skin just above the fistula. After the fistula is ligated, it is then cut open.
Bioprosthetic plug
This is an option when there is a risk of incontinence. This involves the addition of a bioprosthetic cone (a product of creature tissue) to the fistula’s inside opening. Although it is believed to be a powerful treatment by a few specialists, there is not enough evidence to support that belief. This is a clinical exam.
Fibrin Glue-Fibrin stick treatment
This is the simplest and most non-careful method. The paste is used to seal the mess by infusing the paste inside the fistula. Finally, the opening is sewn shut. It’s not a permanent solution and isn’t as effective as other medical treatments and medicines prescribed by the best Fistula Doctor in Kolkata. This can be an effective option when fistulotomy has been performed in extreme cases and the fistula passes through the sphincter muscles. The patient remains conscious throughout the procedure.
About Docor
Dr. Azhar Alam
MBBS (Honours), MRCS A (UK),
DNB General Surgery
FIAGES (Gastro Intestinal Surgery)
FMAS (Minimal Access Surgery),
MNAMS (New Delhi)
Consultant Gastrointestinal, Advanced Laparoscopic and Laser Surgeon
Assistant Professor of Surgery, KPC Medical College and Hospital
