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International Patient CareBest Hospital for Fistulectomy for High Anal Fistula with Advanced Colorectal Care
At Medicover Hospitals, our team of surgical gastroenterologists, including those with MS, DNB, and MCh qualifications, performs open fistulectomy for high anal fistulas. This approach ensures effective treatment, often resulting in shorter hospital stays for patients across India.
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What is Fistulectomy for High Anal Fistula?
Fistulectomy for High Anal Fistula is a surgical procedure to remove an abnormal connection (fistula) between the anal canal and the skin near the anus. The anal canal is the last part of the large intestine. In this procedure, the fistula tract is completely excised to prevent recurrence and promote healing.
This surgery is needed when a fistula causes pain, infection, or drainage. Conditions like Crohn's disease or previous anal abscesses can lead to high anal fistulas. If untreated, it can lead to chronic infection and complications. Modern surgical approaches include laser treatment and video-assisted anal fistula treatment (VAAFT). These methods aim to reduce recovery time and improve outcomes.
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Complete Guide To Fistulectomy For High Anal Fistula
Everything you need to know about the procedure, preparation, and recovery
Fistulectomy for High Anal Fistula Surgery Indications
Doctors recommend fistulectomy surgery for high anal fistula when other treatments fail. This surgery is considered when symptoms persist and affect daily life. It is crucial for preventing complications.
Persistent Anal Pain
Patients often experience constant or severe anal pain. This pain may worsen during bowel movements. Examination may reveal a high anal fistula. When pain does not improve with medication or sitz baths, surgery is advised.
Recurrent Abscess Formation
Frequent abscesses around the anal area can indicate a high anal fistula. Patients may notice swelling, redness, and pus discharge. Imaging tests like MRI confirm the fistula's presence. Surgery is recommended when abscesses recur despite drainage and antibiotics.
Chronic Discharge
Continuous discharge from the anal region, often with a foul smell, is a common symptom. This discharge can lead to skin irritation. A fistula is usually confirmed through clinical examination and imaging. Surgery is considered when discharge persists despite conservative measures.
Infection and Inflammation
Ongoing infection and inflammation around the anal area can suggest a high anal fistula. Patients may experience fever and discomfort. Blood tests and imaging help in diagnosis. Surgery is necessary when infections are recurrent and do not respond to antibiotics.
Failure of Previous Treatments
When previous treatments like fistulotomy or seton placement fail, fistulectomy may be needed. Patients continue to experience symptoms despite these interventions. Imaging and examination confirm the need for a more definitive surgical approach.
How to Prepare for Fistulectomy for High Anal Fistula?
Proper preparation for a fistulectomy is crucial to ensure a smooth procedure and recovery. It helps minimise complications and aids in a quicker return to daily activities.
- Medication Review: Stop NSAIDs, anticoagulants, and herbal supplements a week before surgery, as advised by your doctor.
- Fasting: Do not eat or drink anything for at least 8 hours before the surgery to ensure safety during anaesthesia.
- Bowel Preparation: Follow the prescribed bowel prep instructions to clear the intestines before the procedure.
- Clothing: Wear loose, comfortable clothing on the day of the surgery to avoid pressure on the surgical site.
- Transportation: Arrange for someone to drive you home post-surgery as you may feel drowsy from anaesthesia.
- Medication List: Bring a list of your current medications, including dosages, to inform the medical team.
- Smoking and Alcohol: Avoid smoking and alcohol for at least 24 hours before the surgery to reduce risks.
- Pelvic Floor Exercises: Practice these exercises if recommended by your doctor to strengthen muscles before surgery.
Fistulectomy for High Anal Fistula Surgery (Step-by-Step)
This procedure is performed by gastroenterologists-surgical. It typically lasts 1 to 2 hours and is done under general anaesthesia.
- Preparation: The patient is positioned comfortably. Anaesthesia is administered to ensure they are asleep and pain-free.
- Incision: A small incision, about 1-2 cm, is made near the fistula opening. This allows access to the fistula tract.
- Fistula Tract Identification: A probe is gently inserted into the fistula to trace its path. This helps in precise identification of the tract.
- Excision: The fistula tract is carefully excised using surgical instruments like a curette or harmonic scalpel. This removes the infected tissue.
- Cleaning: The area is cleaned thoroughly to remove any residual infection. This may involve irrigation with saline solution.
- Closure: The incision is closed with sutures. Sometimes, a small drain is placed to prevent fluid accumulation.
- Recovery: The patient is moved to a recovery area. They are monitored as they wake up from anaesthesia.
Who Performs Fistulectomy for High Anal Fistula Surgery?
This surgery is performed by general surgeons who specialise in treating conditions of the gastrointestinal tract. They are trained to handle complex cases involving the anal region.
Recovery After Fistulectomy for High Anal Fistula Surgery
Recovery from a fistulectomy for high anal fistula surgery involves gradual healing and care. Patients can expect some discomfort initially, but following the doctor's advice can ease the process.
Day 1-3:
- Rest is crucial. Avoid strenuous activities.
- Expect some pain and swelling. Pain relief medication may be prescribed.
- Consume a soft diet. Include foods like curd, dal-rice, and soups.
Day 4-7:
- Continue with light activities. Avoid heavy lifting.
- Maintain a high-fibre diet to prevent constipation. Moong dal and khichdi are good options.
- Keep the surgical area clean and dry. Follow wound care instructions.
Day 8-14:
- Gradually resume normal activities. Listen to your body and rest as needed.
- Return to work or school if comfortable, but avoid prolonged sitting.
- Monitor the wound for signs of infection.
Phase 3 (Week 3-4):
- Most patients can return to regular routines with caution.
- Continue a balanced diet to support healing.
- Follow up with your doctor for a post-operative check-up.
When to Seek Urgent Help:
- Severe pain not relieved by medication.
- Fever or chills indicating possible infection.
- Excessive bleeding or pus from the wound.
- Difficulty in bowel movements despite dietary adjustments.
Benefits of Fistulectomy for High Anal Fistula Surgery
Fistulectomy is a surgical procedure aimed at treating high anal fistulas by removing the fistulous tract. It offers several benefits for patients.
- Effective Treatment: Removes the fistula tract, reducing the risk of recurrence.
- Symptom Relief: Alleviates pain and discomfort associated with fistulas.
- Prevents Infection: Reduces the chance of recurrent infections and abscess formation.
- Improved Quality of Life: Enhances daily life by resolving symptoms and complications.
Risks and Complications of Fistulectomy for High Anal Fistula Surgery
While fistulectomy is generally safe, there are potential risks and complications associated with the procedure.
- Bleeding during or after the surgery.
- Infection at the surgical site.
- Incontinence due to damage to surrounding muscles.
- Recurrence of the fistula.
- Delayed wound healing.
- Scarring that may affect bowel movements.
What is the Cost of Fistulectomy for High Anal Fistula Surgery?
The cost of Fistulectomy for High Anal Fistula Surgery at Medicover Hospitals ranges from Rs. 35,000 to Rs. 1,42,000, depending on the surgical approach, hospital stay, room category, diagnostics, and post-operative care.
We offer transparent pricing with insurance and TPA support, including CGHS, ESI, and major TPAs, with cashless facility available. Please contact the hospital for the latest insurance panel details.
Frequently Asked Questions
1. How much does Fistulectomy for High Anal Fistula surgery cost at Medicover Hospitals?
The cost of Fistulectomy for High Anal Fistula Surgery ranges from Rs. 35,000 to Rs. 1,42,
2. Please contact Medicover Hospitals for detailed pricing information. 2. Is Fistulectomy for High Anal Fistula surgery covered under health insurance at Medicover?
Fistulectomy for High Anal Fistula may be covered by CGHS, ESI, and major TPAs. Please contact the hospital for current panel details.
3. Will I need a special diet after Fistulectomy?
Yes, a soft diet like curd, dal-rice, and khichdi is recommended. This helps ease bowel movements and aids recovery.
4. Can I sit comfortably after Fistulectomy?
Sitting may be uncomfortable initially due to the surgical site. Use a cushion and avoid prolonged sitting to aid healing.
5. Is incontinence a risk after Fistulectomy?
Incontinence is rare but possible after Fistulectomy. Discuss concerns with your surgeon to understand your specific risk.
6. How soon can I return to work post-Fistulectomy?
Most patients can return to work in 2-3 weeks. However, jobs involving heavy lifting may require a longer recovery period.
7. Will the fistula recur after Fistulectomy?
There is a possibility of recurrence after Fistulectomy. Regular follow-ups with your doctor can help monitor and manage this risk.
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