Do we need surgery in fistula? | Fistula Treatment in Bangalore, HSR Layout, Koramangala

1. Do we need surgery in fistula? BY DR. MANAS RANJAN TRIPATHY

2. A simple answer is “yes” but this does come with some terms and conditions as this completely depends upon the severity of the disease that whether a surgery is required or not. The best person to judge if a surgery is required or not is the doctor itself. Just remember that the treatment of fistula is dependent upon many factors. The major factors have been mentioned in order to give you clarity about all the things. The major factors are: Position of fistula If it’s a single channel fistula If it has many branches in different directions

4. The best treatment for the fistula would be told by the doctor itself once the doctor has completely examined the position and the severity of the Fistula so you should not worry about the same. Rely on the doctor for the same. If your doctor suggests that surgery is not required then also there is nothing to worry about because there are lots of risks involved in the surgery and in order to avoid those risks as far as possible, the doctor might not go for it. And the biggest reason why surgery is avoided is that the sphincter muscles might damage the bowel control! Don’t be of the opinion that there is no other treatment procedure other than surgery. There are many other safe options that are available. So now you must be thinking that what are those options, thereby we have made a list of the options that are available other than surgery.

6. You can go through them just for the information but remember that the final decision will be taken by the doctor only. Laser Treatment (Advanced) In this new era, technology and medical science go hand in hands and thus we have come up with the solution that the advanced laser treatment is the best treatment for the fistula to be treated without surgery. A laser beam is being used to seal fistula. It is also the fastest and the most effective treatment as in some cases, there is no need of the patients to be hospitalized and they might go back home the same day. Endoscopic Ablation The second best treatment which is available to seal the Fistula is the endoscopic ablation. It is being done in the case where there is no need of a surgery to be done in Fistula.

7. A tube is being entered into the body along with the camera and with the help of that, the Fistula is being sealed and treated. It is also one of the most safest way of treating fistula. Seton Procedure It is the third and most important step in treating fistula. A doctor might recommend inserting fistula if in case there is no need of a surgery and if it is required to do so. It is the most used alternative to surgery in Fistula. It is being used if in any case, Fistula is passing through a portion of the sphincter muscle. In that case, it is required that the Fistula should be left open for some weeks and in such cases, the seton is being used. It is useful in keeping the Fistula open till the time it is required.

8. It is really helpful in healing the Fistula but also at the same time it should be remembered that it will only help in draining Fistula and not in curing it. In order to cure it, the surgeons will have to use tighten Setons so that it can be cured by cutting out through the Fistula. It is a long process so the best option is to contact the doctor and let him or her decide what is the best option for you and how it should be treated and taken forward. Advanced Flap Technique It is the second kind of surgery treatment for fistula. You have to understand that it is being used when the Fistula is getting so much complicated that it is harming the sphincter muscles.

10. But this particular procedure cuts and scrapes out the Fistula. Don’t think that the hole is not being covered; it would be covered with the tissue flap later on. It would be done so that there is no risk involved in the same and everything goes smoothly. As it has already been mentioned that this particular procedure does require surgery. So let the doctor decide whether this procedure is being required or not because it is a complicated procedure and thus the doctor should be the best judge of the same. A proper coordination amongst the patient and the doctor is extremely important so that nothing should go wrong and everyone is aware of the fact that what is going to happen next in the course of action.

11. TO LEARN MORE Let us get connected Phone Number +91 8150000200 Email Address info@drmanastripathy.com HSR Layout Address Koramangala Address #54, 1st floor, Above SBI Bank, Behind BDA Complex, 12th Main Rd, HSR Layout, Bengaluru, Karnataka 560102 143, 1st Cross, KHB Colony, 5th Block, Koramangala, Bengaluru, Karnataka 560034 www.drmanastripathy.com