MBBS. M.S. General Surgery, FMAS Manager Director and Consultant at Mukta Nursing Home

Saradapally, Shivmandir, Siliguri - 734011, Dist Darjeeling, W.B +91 8861813461 mukta.healthcare@gmail.com

Fistula Surgery: Overview, Risks, And What To Expect After Treatment

Fistula surgery is the most effective treatment once you have been diagnosed with a fistula. Fistulas come in a variety of forms. The majority of them are surgically removed. By definition, a fistula is an irregular link between an organ, vessel, or intestine and the skin, another organ, vessel, or intestine.While some respond well to therapy, some fistulas recur and need more involved care. Consult one of the most reliable surgeons for fistula surgery in Siliguri City.

Overview of Fistula and Fistula Surgery

A fistula is an abnormal opening that forms between two tissues or organs that aren't typically joined. Types of fistulas:

Anal Fistula: Usually,it’sthe result of an abscess, this condition develops between the skin surrounding the anus and the anal canal.Infections or inflammations in the glands around the anus, along with associated perianal abscesses, are usually the cause here.

Arteriovenous (AV) Fistula: An AV fistula is a direct link between a vein and an artery, two distinct blood vessel types that typically travel different paths. In most cases, an injury is the cause.

Enterocutaneous Fistula: Generally, it’s a consequence of surgery, although it can result from trauma, cancer, ischemia, or inflammatory bowel disease. This type of fistula develops between the skin and the intestines.

Vesicovaginal fistula (VVF):An undesired gap that develops between the vaginal wall and the bladder is called a vesicovaginal fistula (a subtype of female urogenital fistula).

Tracheoesophageal Fistula (TEF).This is a link between your oesophagus and trachea, or windpipe. Basically, it is a congenital condition, meaning that newborns are born with it. In some cases, cancer or other illnesses can cause TEF in people.

Fistula Surgery

The majority of anal fistulas need surgery, with fistulotomy and seton surgery being the two primary surgical treatments. For vesicovaginal fistula (VVF), surgery is the only effective treatment.Some fistulas may heal with the use of antibiotics and other drugs.

A fistulotomy is when a surgeon makes a full-length cut through a fistula, allowing it to heal into a flat scar. It's the most popular and successful way to treat a lot of anal fistulas.

Another effective fistula surgery is seton surgery. To assist drain any infection and promote healing, a surgeon may consider seton surgery. It involves inserting a tiny piece of surgical thread within the fistula.For patients with a complex fistula condition, more than one surgery may be good. See the best doctor for successful fistula surgery in Siliguri.

Understanding the Risk of Fistula Surgery

Fistula surgery has risks, just like any other operation. Among the possible issues are:

  • Infection: Following surgery, infection is a typical danger since fistulas often include regions that are prone to bacterial development.
  • Recurrence: If underlying diseases are not treated, some fistulas may recur.
  • Incontinence:Sometimes, damage to the anal sphincter during anal fistula surgery may cause urinary or bowel incontinence.
  • Bleeding and Pain: Mild bleeding and some post-operative pain are normal, but moderate to severe bleeding is not.
  • Scarring: Scar tissue may form in a few patients, causing the affectedarea to narrow or become obstructed.

Fistula Surgery – What You Can Expect After Treatment

It generally takes about 6 weeks to heal after fistula surgery. The speed of recovery following fistula surgery varies according to the procedure performed.
Hospital Stay: While more complicated surgeries need a hospital stay, minor fistula procedures can be completed as an outpatient procedures.

  • Pain management: Painkillers, whether prescribed or over-the-counter, help with the management of post-operative discomfort. Make sure to take only prescribed meds for over-the-counter meds as well.
  • Wound Care: To prevent the risk of infection and encourage healing, proper wound cleanliness is vital (advised by your surgeon).
  • Dietary Changes: Eating a diet rich in fiber, along with lean protein and low-fat dairy, and drinking enough water will help avoid constipation and ease the strain associated with bowel movements.Eat fresh fruits and seasonal vegetables.
  • Follow-Up Visits: Seeing the surgeon regularlyhelps the surgeon keep track of your progress after fistula surgery.
  • Activity Restrictions: You need to avoid heavy lifting, prolonged sitting, and physical activity as your surgeon advises.

Surgery has always been the best option for a fistula (in most cases). Making lifestyle changes and following proper post-operative care can ensureoptimal recovery and lower the chance of recurrence. Meet one of the best doctors for fistula treatment in Siliguri.

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