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Anal Fistula Treatment In Surat

An anal fistula ( Bhagandar / Fistula in ano ) is a small tube that occurs between the end of the bowel and the skin around the anus. It usually is the outcome of a past or current anal abscess. The fistula has a tract with two openings - An internal opening into the rectum or anal canal and an external opening through the skin of the buttocks. Very few anal fistulas heal by themselves and the only effective cure for a persistent anal fistula is surgery. Healing hands clinic is a certified centre of excellence for fistula treatment in India providing fistula care in Surat. For more information

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Anal Fistula Treatment In Surat

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  1. Anal Fistula Healing Hands Clinic - Anal Fistula Treatment In Surat

  2. What is Anal Fistula? An anal fistula ( Bhagandar / Fistula in ano ) is a small tube that occurs between the end of the bowel and the skin around the anus. It usually is the outcome of a past or current anal abscess. The fistula has a tract with two openings - An internal opening into the rectum or anal canal and an external opening through the skin of the buttocks.

  3. Symptoms Irritation around anus skin. Redness and swelling Blood loss Painful bowel movements High temperature A foul-smelling fluid leaching near the anus. Throbbing pain that worsens on sitting.

  4. Diagnosis Usually, the diagnosis is done by examining the area around the anus. A small review of the rectum is done through the scope which is used as an instrument to check the condition of the rectum. MRI or Ultrasound is done for viewing the better result of fistula. Further tests are done like X-Ray, blood test and colonoscopy if the fistula is found. These tests are done generally to check if the condition is related to inflammatory or Crohn’s disease.

  5. Causes of Anal Fistula • Anorectal abscess - Almost all anal fistulas are a result of a prior anorectal abscess. An anorectal abscess starts as a disease, spreading the infection of the anal glands. The infection quickly develops a pool of pus - the abscess. An anal fistula results when the abscess fails to recover fully with/without treatment. • Conditions that lead to inflammation of the intestines like Crohn's disease, Diverticulitis. • Malignancy in the anorectal area. • Infections - Tuberculosis, HIV, sexually transferred infections • Iatrogenic - As the complexity of the previous operation in the area.

  6. Anal Fistula Treatment

  7. Conventional treatment FISTULECTOMY This is an operational method in which the fistula tract is fully excised. Done under anaesthesia, the fistula tract is removed. This method is done with it the risk of injury or damage to the sphincter tissues. The Laser is used as an addition to Fistulectomy to reduce the risk of harm to the sphincter tissues. KSHARSUTRA It is an ayurvedic technique. A thread is coated which ayurvedic preparation and is used to insert into the fistula tract. Ksharsutra allows continuous drainage of pus and debris from the tract. As all the infected material is drained, healing begins in a clean environment.

  8. Recent Treatment FISTULA PLUG A fistula plug is used to tract fistula i.e. synthetic bio-absorbable scaffold. With time the cells move into scaffold and tissues which are newly generated absorb the plug material. FiLaC ( Fistula-tract Laser Closure ) This procedure is done using Leonardo laser, which requires about 30-40 min. A laser is injected from outside which removes all fistula tract. This laser treatment is first introduced by the Healing hands clinic in India.

  9. Distal Laser Proximal Ligation ( DLPL ) Fistula is a complex disease. The aim of any fistula treatment is not just to get rid of the existing fistula but: 1. To protect the sphincter tissues and thus stop incontinence. 2. To prevent a recurrence, concerning the nature of the disease. In this procedure, an abscess cavity along with the internal opening is first excised. This is followed by the closure of the distal tract. The fistula tract is then sealed with the Leonardo Laser. With the radially emitting fibre of the laser energy. This ensures complete closure of the tract.

  10. Dr Gaurang Desai MBBS. MS. FISCP. ( Fellowship In Coloproctology )

  11. THANK YOU.

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