What are Fistulectomy
A fistulectomy is a surgical procedure performed to treat an anal fistula, a smalltunnel-like tract that forms between the anal canal or rectum and the skinsurrounding the anus. Anal fistulas can cause discomfort, pain, and recurrentinfections. Fistulectomy aims to remove the fistula tract, promote healing, andprevent future complications.
Symptoms
- Pain and Discomfort: Pain and discomfort in the anal region are commonafter a fistulectomy. The intensity of pain can vary depending on theextent of the surgery and the individual's pain tolerance. Pain is typicallymost pronounced during the first few days after the procedure.
- Swelling: Swelling around the surgical site is common after afistulectomy and may take some time to subside.
- Bruising: Some bruising around the incision site may occur, especially inthe case of open fistulectomy.
- Anal Discharge: Patients may experience a small amount of analdischarge, which is normal during the healing process.
- Soreness: The anal region may feel sore and sensitive during therecovery period.
- Bleeding: Some bleeding or spotting may occur after the procedure, butit should be minimal and usually resolves on its own.
- Stool Changes: Bowel movements may be affected after a fistulectomy.Some patients may experience temporary constipation or difficultypassing stools.
- Stool Softening: Stool softeners are often prescribed after afistulectomy to prevent straining during bowel movements and reduce discomfort.
- Dietary Changes: Patients may be advised to follow a specific diet toavoid constipation and promote healing.
Notes
It's important to note that the severity and duration of post-fistulectomysymptoms can vary from person to person and depend on the extent of thesurgery and the individual's healing process. Most symptoms graduallyimprove as the body heals, and the majority of patients experience relieffrom their anal fistula symptoms after a successful fistulectomy.
Procedures
During a fistulectomy, the patient is typically placed undergeneral anesthesia or given regional anesthesia (epidural or spinalanesthesia) to ensure they are unconscious or have no sensation duringthe surgery. The surgical procedure involves the following steps :
- Examination and Visualization: The surgeon will use an anoscope orproctoscope to examine and visualize the fistula tract
- Incision and Tract Removal: An incision is made around the fistulatract, and the entire tract is carefully removed. The tract is excisedalong with any surrounding infected or unhealthy tissue.
- Closure: Depending on the complexity of the fistula and the surgeon'sjudgment, the internal opening of the fistula may be left open to healnaturally, or it may be closed with sutures. Closure is often performedto promote healing and prevent recurrent infections.
- Drainage: A small drainage tube or seton may be placed in the fistulatract to help with drainage and prevent the tract from closing tooquickly. Relieve
- Recovery and Healing: The recovery period after fistulectomy can varydepending on the extent of the surgery and the individual's healing ability.After the procedure, patients may experience some discomfort, pain, andswelling in the anal region. Pain medications and stool softeners are oftenprescribed to manage pain and ease bowel movements during the healingprocess.
- Patients are typically advised to follow a special diet and maintain properhygiene to prevent infection and promote healing. It's essential to avoidactivities that may strain the anal region during the recovery period. Follow-up visits with the surgeon are essential to monitor the healingprocess, remove any drainage tubes, and ensure there are nocomplications.
- Benefits of Fistulectomy: The primary benefit of fistulectomy is theresolution of the anal fistula and its associated symptoms. By removingthe fistula tract, fistulectomy aims to : Relieve pain and discomfort , "Prevent recurrent infections and abscess formation., Improve quality of life
Risk
- Infection: The surgical site is at risk of developing an infection.This risk is higher in cases of complex or recurrent fistulas.
- Bleeding: Some bleeding may occur during or after the surgery,but it is usually minimal and resolves on its own. In rare cases,significant bleeding may require further medical intervention.
- Delayed Healing: In some cases, the wound may take longer toheal, leading to delayed recovery.
- Recurrence: Although fistulectomy aims to remove the fistulatract completely, there is a small risk of fistula recurrence,especially in cases of complex or multiple fistulas.
- Anal Stenosis: In rare cases, scar tissue formation after thesurgery can lead to narrowing of the anal canal, known as analstenosis. This can cause difficulty with bowel movements.
- Urinary Symptoms: The proximity of the fistula to the urinarytract may pose a risk of urinary symptoms or urinary tractinfection.
- Fecal Incontinence: In rare cases, damage to anal sphinctermuscles during the surgery can lead to temporary or permanentfecal incontinence (inability to control bowel movements).
- Anorectal Abscess: There is a risk of developing anorectalabscess, which is a collection of pus in the anal or rectal area.
- Anesthesia Risks: General anesthesia or regional anesthesia(epidural or spinal) carries its own set of risks, includingreactions to medications or complications related to anesthesiaadministration.
Includes
- Doctor Fees
- OT charges
- Anesthetic charges
- Drugs
- Investigation
- Professional charges
- Room Rents
- Nursing & Administrative charges
Procedure Fee : ₹32400 ₹35640 (Inclusive of all charges)
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