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Fistula Surgery

 

Fistula surgery involves putting a plug or drain into the fistula, which helps it to heal and prevent infection. A small incision is made along the length of the fistula, and medical glue is applied to it. The wound closes after the surgery. The fistula will then be closed. Retinal advancement flaps may also be performed. After surgery, you should expect to have some bruising or discoloration around the area.

Anoscopy

Fistula surgery is a procedure that enables your doctor to see what’s going on inside your body, and this includes the lower rectum. X-rays and blood tests are also used to make sure you have an anal fistula, but the anoscope is the preferred method of examination. In addition, the anoscope allows your doctor to see any abnormal growth that has grown within your anal canal or anus. A biopexy may be performed to remove any suspicious growth that’s causing your fistula.

Anoscopy is usually performed on an outpatient basis, and you don’t need to stay in the hospital. After the exam, your doctor can give you an idea of the results and the next steps. The results of your anoscopy will help your doctor determine whether surgery is necessary and what treatment is appropriate. A doctor may also recommend other testing, if necessary. Anoscopy for fistula surgery should be performed by a skilled and experienced surgeon.
Fistulotomy

The recovery process after Fistulotomy fistulopathy surgery varies, depending on the size of the fistula. Small fistulas can be treated with local anesthesia, while large fistulas may require general anesthesia. After surgery, patients should rest in a recovery room and avoid heavy lifting or deep squatting. After the procedure, they may be prescribed a pain medication, a change in diet, and a sanitary pad. Recovery can take anywhere from two to three weeks.

A Fistulotomy surgery is performed in a hospital, surgical center, or gastroenterologist’s office. The patient will be asked to change into a hospital gown and leave all valuables at home. After changing into the hospital gown, patients are required to remove any jewelry, contact lenses, dentures, hearing aids, and piercings. If bleeding occurs, patients will be provided with sanitary pads.

Ligation of intersphincteric fistula tract (LIFT) procedure

The LIFT procedure was performed on 167 patients with recurrent or transsphincteric fistulas. The median age was 43.6 years and BMI of 24.3 kg/m2. No specific surgical procedure was performed prior to the LIFT procedure. The following intraoperative outcomes were observed: mean postoperative stay was 2-4 days, and healing time was 4 to 8 weeks. The majority of patients had no recurrence.

Patients in the trial underwent LIFT with or without anaesthesia. The surgical techniques used during both procedures were predefined. Before the trial, surgeons in all study centers were taught the standard LIFT procedure. All hospitals were provided with three videos of the LIFT procedure and LIFT-plug procedure. Once these videos were approved, patients could enter the trial.
Retinal advancement flaps

A single study comparing the use of palatal rotation and buccal advancement flaps in patients with and without cryptoglandular fistulas demonstrated that the latter are superior to the former in terms of healing. Furthermore, the two groups exhibited similar distribution trends of the number of patients with and without advancement flaps. Patients also did not have a different postoperative bowel preparation regimen. Moreover, all patients underwent an enema before the operation.

The authors conducted a subgroup analysis of CD patients to determine if age, gender, and BMI were associated with the healing rate of anal fistulas. Additionally, they found that age, sex, and the presence of a protective stoma were not associated with healing rates. Also, rectovaginal fistula course and presence of a protective stoma did not affect the outcome.

Anoderm V-Y advancement flaps

Anoderm V-Y advancement flaps are an important part of fistula surgery. This procedure is performed under a general anaesthetic. Patients undergo a fasting period from midnight the night before to 7am the day of the procedure. This type of surgery does not require special bowel preparation, although patients will be given an enema before surgery to aid the recovery process.

Anoderm V-Y advancement flaps are used to repair complex fistulas, like an anal fistula. They cover the defect, allowing the underlying tissue to heal. This procedure preserves anal muscle function and avoids faecal incontinence. Advancement flap repair is a common procedure for patients who have weak pelvic floor muscles due to pregnancy, childbirth, or injury to the anal canal.