How Fistula-in-Ano are Treated?
Surgery is almost always necessary to cure an anal fistula. The goal of the surgery is a balance between getting rid of the fistula while protecting the anal sphincter muscles, which could cause incontinence if damaged.
Fistulas in which there is no or little sphincter muscle involved are treated with a fistulotomy. In this procedure, the skin and muscle over the tract are cut open to convert it from a tract to an open wound. This allows the fistula tract to heal from the bottom.
In case of a more complex fistula, the surgeon may have to place a special drain called a seton, which remains in place for at least 6 weeks. After a seton is placed, a second operation is almost always performed.
What are the symptoms of Fistula-in-Ano?
What are the Types of Fistula-in-Ano?
Ayurvedic Treatment and Home Remedies for Fistula-in Ano
A fistulotomy, or an advancement flap procedure (the fistula is covered with a flap, or piece of tissue, taken from the rectum, like a trap door), or a lift procedure (the skin above the fistula is opened up, the sphincter muscles are spread, and the fistula is tied off) or VAAFT (Video assisted anal fistula treatment) and a new treatment for Crohn’s disease fistulas is to inject stem cells into the fistula. The surgeon will discuss all of your options before the surgery.
Fistula surgery is usually done on an outpatient basis, which means the patient can go home the same day. Patients who have very large or deep fistula tunnels may have to stay in the hospital for a short time after the surgery. Some fistulas may require several operations to get rid of the fistula.
Is any follow-up treatment necessary for an anal fistula?
Most fistulas respond well to surgery. After the surgery, you may be recommend a warm bath, known as a sitz bath, stool softeners or laxatives for a week.
Since you may also have some pain or discomfort in the area after surgery, your physician will usually inject local anesthetic such as lidocaine to decrease your discomfort, and may prescribe pain pills. If opioids are prescribed, they are usually used for a very short period.
Written by:
Prof. Dr. R N Tripathy
(Ayurveda Surgeon)
For Fistula treatment in Ayurveda, you can Contact our Astang Ayurveda hospital at Bhubaneswar, India.
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