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Anal Fistula

Anal Fistula

WHAT IS ANAL FISTULA?

An anal fistula is a little channel that is created between the lumen of the anus and the skin close to the perianal area.

At times, It causes tireless seepage. In different cases, where the outside of the channel opening shuts, the outcome might be intermittent anal abscesses. The main cure for an anal fistula is surgery.

SYMPTOMS OF ANAL FISTULA

Conceivable indications include:

  • Discharge of pus or blood on and off from the fistulus opening.
  • Pain which is generally consistent, throbbing and more terrible when taking a seat
  • Skin excoriation and itching around the anus.
  • Constipation or torment related with bowel moments
  • Fever in acute cases

CAUSES OF ANAL FISTULA

The most widely recognized reason for fistula is an anal abscess, in spite of the fact that there are a few other conceivable reasons for the condition. Most anal fistulas shape in the back midline.

At the point when fistulas are found in different areas, they are regularly connected with optional conditions. These include:

  • intestinal provocative illness
  • sexually transmitted diseases
  • injury
  • tumors including leukaemia
  • tuberculosis
  • anorectal growth
  • HIV

TREATMENTS

  • Open fistulectomy
  • Seton tie (ligation of fistulus tract by non-absorbable thread), like kshar sutra in Ayurveda,
  • New innovation: laser treatment.

Comparison between Open & Laser Surgery

Open Fistula Surgery

 

Laser fistula surgery

ADVANTAGES OF LASER

  • Excellent Healing rates.
  • The post-operative dressing is required for a very short duration.
  • Post-operative bleeding less likely.
  • Fewer complications have been observed.
  • The laser also can be done in post CABG (Cardiac), Pregnant & Lactational Patient.
  • Chances of loss of stool control (Incontinence) is not there, as no sphincter damage.
  • Recurrence of Fistula is uncommon after Laser treatment.