Fistula (Bhagandar) Treatment in Pune
Fistula in Ano denotes a small opening/opening by the side of the anus discharging blood mixed with foul-smelling pus staining the undergarments of the patient. Fistulae either result from a ruptured abscess or a surgically drained peri-anal abscess.
These fistulas become painful if the outer opening gets blocked. All these fistulae will have communication with the rectum and hence do not spontaneously close. Some fistulae are superficial called low anal fistulae and some are quite deep called high anal fistulae. Some fistulae are multiple or branched.
Types of Fistula in Ano
Fistulas are classified by their relationship to parts of the anal sphincter complex (the muscles that allow us to control our stool). They are classified as
- Intersphincteric
- Transsphincteric
- Suprasphincteric
- Extrasphincteric.
Intersphincteric is the most common and Extrasphincteric is the least common. These classifications are important in helping the surgeon make treatment decisions.
What is Complex Fistula?
Simple fistula:
Simple fistulas are those that are Intersphincteric or low Transsphincteric involving less than 30% of the external sphincter where the risk of incontinence is low.
Complex fistula:
“Complex” fistulas included those with
- More than 30% sphincter muscle involvement
- Anterior fistulas in female patients
- Recurrent fistulas
- Fistula associated with preexisting fecal incontinence, inflammatory bowel disease, or prior radiation.
There are several different procedures. The best option for you will depend on the position of your fistula and whether it’s a single channel or branches off in different directions. Surgery aims to heal the fistula while avoiding damage to the sphincter muscles, the ring of muscles that open and close the anus, which could potentially result in loss of bowel control.
What symptoms does anal fistula surgery address?
An anal fistula usually causes the following symptoms:
- Blood or pus discharge near the back passage
- Constant discomfort in the anal area
- Irritated, swollen, hot, and/or red skin around the anus
- Discharge from the back passage
- A high temperature (indicating an infection)
Anal fistula surgery aims to correct an anal fistula and treat all of its associated symptoms. If you have any of the above symptoms or you’re concerned about having an anal infection, abscess or fistula, speak with Kaizen fistula specialist Dr. Aniket Zarkar.
Different Methods of Fistula Treatment at Kaizen Gastro Care:
Fistulotomy:
Ligation of the intersphincteric Fistula Tract (LIFT):
The ligation of the intersphincteric fistula tract (LIFT) procedure is the best treatment for fistulas that pass through the anal sphincter muscles, where a fistulotomy would be too risky. This is a Highly efficient procedure with almost no recurrences or incontinence. Dr.Aniket Zarkar a well-known colorectal surgeon in Pune, specializes in complex fistula surgery. Moreover, he is adept in LIFT, an advanced procedure for fistula treatment in Pune.
FiLaC ( Fistula-tract Laser Closure):
VAAFT:
Video-assisted anal fistula treatment (VAAFT) is a new minimally invasive and sphincter-saving endoscopic treatment for complex fistulas. The fistula tract and internal fistula are localized using a fistuloscope inserted through the external opening and under direct vision fistula tract is destroyed from the inside and closure of the internal opening is done by stapling or suturing or cutaneous-mucosal flap.
FISTULA PLUG:
The fistula plug is a 100% synthetic bio-absorbable scaffold. This plug is placed in the fistula tract. Over time cells from the body migrate into the scaffold and new tissue is generated as the body gradually absorbs the plug material, leaving no permanent material in the body.
