ANAL FISTULA SURGERY

Anal fistula surgery requires as they won't heal by themselves if left untreated.

There are many options for surgery, depending on the location of the fistula relative to the anal. To determine the best treatment, the surgeon might need to first examine the area with general or local anesthesia. The best option is then decided.

General anesthesia is used for most surgeries. Surgery is performed to treat the fistula and prevent bowel incontinence.

These are the main options:

There are many surgical options available:

Fistulotomy is the surgical procedure that involves removing the entire length of the fistula to create an open channel. This allows the fistula to heal. This can only be performed for fistulas that have minimal or no sphincter involvement.

Seton techniques - This is when the fistula crosses over a large portion of the anal, sphincter and muscle. A seton is a piece or surgical thread that is placed inside the fistula. It's left there for several weeks to allow the fistula to remain open. It allows the fistula to drain its contents and heal slowly. This avoids severing the sphincter muscles. To gently cut through the fistula, a tighter Seton is possible. This requires several procedures and operations.

Advancement flap procedure - This procedure is performed when the fistula passes though the sphincter muscle in the anus. Fistulotomy is a risky procedure because it can cause incontinence. The flap is removed from the rectum, or the skin surrounding the anus. After the anus is removed, the flap is attached to the fistula opening.

LIFT stands for Ligation of Intersphincteric Fistula Tract. This is for fistulous who pass through the sphincter muscle of the anus.

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Non-surgical options:

Fibrin Glue - This is the only non-surgical treatment available. The glue is used to close the fistula by injecting it into the tube. It is not a permanent treatment and it is not as efficient as other surgeries and treatments. This can still be an option if fistulotomy has not been performed and the fistula is passing through the sphincter muscles.

Cholecystectomy: This is the surgical removal and replacement of the gallbladder. Cholecystectomy can be used to treat gallstones and other conditions.

Laparoscopic Cholecystectomy - Laparoscopic surgery is also known as "minimally invasive surgery" or "keyhole surgical". This procedure involves a series of small incisions through which the laparoscope, and instruments, are inserted. A laparoscope, a thin tube that has a camera attached at the front, is called a laparoscope. The camera attaches to the front of the laparoscope and inflates abdominal with carbon dioxide gas. This allows internal organs to be easily viewed through the camera. The gallbladder and all openings are removed.

An open cholecystectomy - This is the procedure that removes the gallbladder by making a 6 inch incision in the right upper abdomen.

A laparoscopic cholecystectomy may be necessary instead of a cholecystectomy.

The past abdominal surgery

Cirrhosis in the liver

Gallbladder cancer

This condition would make it hard to see through the laparoscope