Glamyo Healthcare – Best Anal Fistula Laser Treatment in Delhiby Glamyo Health Glamyo Health - India's Leading Healthcare Network
An Anal fistula is a path or tunnel from the inside of the anus to the outside part (skin) close to the anus where the waste is released. The abscess is normally generated near anus in the skin, and very small waste (pus) is subsequently stored and discharged.
In the anus wall there are a number of small glands which make mucus. The waste can sometimes block the glands and infect them. The infected part attempts to release itself and makes its own tunnel to the outside skin from the inside anus of the soft tissue. And the abscess is formed in the outer skin. Depending on the soft tissues, fistula dimensions may vary. The abscess is not automatically cured. It continues to come and go. you will need a doctor to repair the fistula, and the only option is surgery.
Fistulas are normally easy to find because the fistula is in the outer skin. However, some are hard to find. Sometimes they heal by themselves and open again later. The doctor will usually examine it physically. He/she might need to put his finger inside the anus and find the path. You might also need to perform an x-ray procedure called a fistulogram in order to detect the exact fistula path and to check for the blockages in the fistula.
Fistulas may be managed by a combination of treatments and may be medically and surgically managed. Studies indicate that the combination of medical and surgical treatment results in the highest healing rate. We will briefly mention here the medicines you can use to alleviate fistula and the surgical options for permanent treatment of Fistula.
Antibiotics, such as ciprofloxacin and metronidazole, can contribute to lower discharge and comfort your fistula. However, antibiotics seldom lead to a total and durable cure. It normally takes 6 to 8 weeks for fistulas to respond to antibiotics, treatment often lasts for several months.
Azathioprine (and mercaptopurine less frequently used) have been shown to aid the closure of fistulas, though it is not efficient in everyone. You can keep your fistula closed for some time (a few years) if this works. As azathioprine is slow to operate, antibiotics are often employed as initial treatment before azathioprine takes effect (it may take 3 to 6 months before people notice benefits). Studies show that azathioprine is more effective in combination with antibiotics.
3. Biologic or anti-TNF drugs:
You may be prescribed one of the biological (or Anti-TNF) drugs, if antibiotics and azathioprine do not appear helpful. Infliximab, adalimumab and certolizumab have been shown to help heal the fistulas. These treatments are probably last for at least one year. NICE (National Institute of Health and Care Excellence) recommends biologic treatment for patients with severe fistulas of Crohn's disease.
Additional medicines: Ciclosporin tacrolimus, methotrexate and thalidomide are also sometimes used to treat anal fistulas.
Two surgical approaches for Anal Fistula are available: Traditional and modern techniques.
A) Traditional Technique include:
1. Fistulectomy: This process involves opening the entire length of the fistula to allow the surgeon to remove the whole content of the fistula. The tract of the fistula is removed and the small hole formed is left to heal. This procedure presents the risk that the sphincter muscle will be damaged and this results in faecal incontinence and is usually used to treat complex anal fistula.
B) Modern Technique include:
- Video Assisted Anal Fistula Treatment (VAAFT): The technique allows the fistula path directly to be viewed from the inside with a telescope. The fistula can be cauterized(sealed) after cleaning by electric current to close the track. You can also use stitches and fibrin glue. This is a new method that can help surgeons to find additional passages that run off the main fistula and that require treatment to cure the fistula.
- Mucosal advancement flap procedure:The inner lining of the rectum will be lifted and pushed down into the anal canal to close the inner hole following cleaning of the fistula (leaving the muscles intact). The procedure is used for complex fistulas involving the sphincter muscles, which carry a high risk of incontinence when cutting the fistula track open.
- Setons: Loose Setons are soft operational threads that go through the fistula channel and the anus via which a loop with its protruding ends is connected to. The Seton is a "wick" that removes infected tissue or pus. If the fistula heals or stays in place for long periods, it may be removed. Studies show that adding loose setons in treatment with infliximab improves results for people with anal fistulas. People report that a loose seton is like a rubber band hanging from the anus, and they don't notice it's there any more after a few days.
A cutting seton: is an alternative, where the thread is slowly tightened over a period of months to slowly move the seton through the muscle and fistula, forming the scar tissue and closing the fistula. Though cure with a cutting seton can be used for 4 out of 5 people, the rate of incontinence can be high, so the procedure is seldom used now.
4. Ligation of Intersphincteric Fistula tract (LIFT): is a technique used for the treatment of a deep or complex anal fistula. A seton is placed in the tract for some time, which forces it to widen. The surgeon removes the infected tissue a few weeks later and closes the opening of the internal fistula.
5. Fistula plug: A plug for fistula is a plug that is a 100% bio-absorbable scaffold. The fistula plug is put in the tract of fistula. During a certain time, the cells from the body move into the scaffold and the body absorbs the plug material that does not leave permanent material in the body.
6. Fistula-tract laser closure (Filac): It's made with laser Leonardo. This procedure helps the fistula tract to be removed carefully without damaging the sphincter muscle.
7. Distal Ligation Proximal laser (DLPL): This procedure is not only intended to treat fistula but also to save the sphincter muscle which helps prevent incontinence and recurrence. In this fistula treatment, the abscess cavity with the internal opening is first removed and the distal tract is then closed. The nearby area of the fistula tract is then sealed using the Leonardo laser that helps complete track closing.
Why to choose Glamyo Health for Anal Fistula Treatment in Delhi?
You can get your surgery done by Glamyo Health’s experienced surgeons in the best hospital of Delhi. You just need to visit the website and call our medical counsellors for more information about your Anal Fistula treatment in Delhi.
Created on Sep 6th 2021 01:48. Viewed 313 times.