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Surgical treatment of complex anal fistulas and Haemorrhoids in Bhubaneswar

Surgical Treatment of Complex Anal Fistulas and Haemorrhoids

Surgical treatment of complex anal fistulas and Haemorrhoids in Bhubaneswar

Surgical treatment is frequently necessary for complex anal fistulas because untreated fistulas increase the risk of recurrent infections and abscesses. On the other hand, Immunomodulators may sometimes be used to treat inflammatory bowel fistulas before surgery is even contemplated.

Multiple surgeries may be required to adequately resolve a fistula if it is regarded as complicated due to variables such as the involvement of considerable muscle, branching, or prior disorders increasing the risk of surgery. Diverse methods are utilised by colorectal surgeons to treat intricate fistulas.

The LIFT Procedure, Endorectal Advancement Flap, and Seton Drain are surgical methods used to treat complex anal fistulas. To facilitate drainage, the seton is removed to keep the fistula open. By covering the internal hole of the fistula with healthy rectal tissue, the Advancement Flap protects the sphincter muscles. By ligating the intersphincteric fistula tract, LIFT reduces the risk of sphincter muscle injury and eliminates contaminated tissue. These individualised approaches seek to protect sphincter function while providing efficient treatment. The optimal course of action is determined by consulting with a colorectal surgeon, taking into account specific circumstances. With our expert lineup of general surgeons, we offer you the best surgical treatment of complex anal fistulas and Haemorrhoids in Bhubaneswar.

Experience specialized surgical treatment for complex anal fistulas and hemorrhoids in Bhubaneswar at Manipal Hospitals. Achieve relief and comprehensive care for your condition with our expert team.

FAQ's

Unusual tunnel-like tracts connecting the anal canal to the skin close to the anus are a hallmark of complex anal fistulas. Because of their complex network of interconnected tracts, involvement of nearby systems like muscles or nerves, and linkage to underlying disorders like Crohn's disease, they frequently cause discomfort to patients. Specialised surgical techniques and cautious supervision are necessary to ensure successful treatment while reducing hazards to the patient's general health and function because of these complications.

Haemorrhoids, sometimes referred to as piles appear as enlarged, inflammatory veins in the anus and lower rectum. Many events, such as straining during bowel motions, extended sitting, or increased pressure in the pelvic area, might cause these veins to expand. Haemorrhoids can appear outwardly around the anal orifice or inwardly within the rectum. Pain, discomfort, itching, and bleeding are common symptoms, especially during bowel motions. Although the degree of haemorrhoids varies, they usually cause a great deal of discomfort and need to be managed with changes in lifestyle, topical medications, or in more severe situations, medical procedures.

Complex anal fistulas can be treated surgically using a variety of techniques, depending on the patient's health and the unique features of the problem. 

To facilitate healing, Fistulotomies entail cutting open the fistula tract. The entire fistula tract must be surgically removed during a Fistulectomy. A non-absorbable substance is threaded into the fistula during seton insertion to promote drainage and inhibit closure. The internal fistula opening is covered by healthy tissue after Advancement Flap surgeries, which aid in the healing process. 

To promote tissue regeneration, Stem Cell Therapy entails injecting stem cells into the fistula. The complexity of the fistula, its location, the existence of related illnesses like Crohn's disease, the patient's general health, and their preferences all play a role in determining which operation is best.
 

A typical surgical procedure for simple or superficial anal fistulas is called a Fistulotomy, which entails opening the fistula tract and removing any contaminated tissue. By completely removing the contaminated tract, this treatment seeks to promote internal healing. Fistulotomy lowers the chance of recurrence by eliminating defective tissue and encouraging the growth of healthy tissue and fistula closure. For simple fistulas with a single tract and little involvement of neighbouring tissues, it is frequently chosen. Wound management and keeping an eye out for any indications of infection or problems are standard components of postoperative care.

Seton Placement is the process of inserting a material like a rubber band or suture through the fistula tract to keep it open and allow drainage. This procedure facilitates the appropriate outflow of pus and fluid from the fistula, which helps to reduce inflammation and infection. Seton placement helps in cases where alternative surgical treatments may provide more dangers or difficulties; it is especially preferred for the management of complex or high-risk anal fistulas. Depending on the specific circumstances and the patient's reaction to treatment, Seton Placement may be used as a short-term solution or maintained over a longer time frame.

During an Advancement Flap treatment, the internal fistula opening is covered with mobilised healthy tissue from surrounding locations, such as the rectum. This method lowers the chance of recurrence and encourages recovery by sealing the tract with healthy tissue. When it comes to complicated fistulas or those linked to illnesses like Crohn's disease, Advancement Flap surgeries are frequently the method of choice since they preserve sphincter function and reduce the chance of complications.
 

Haemorrhoids can be surgically treated using a variety of techniques, depending on the kind and severity of the problem. Haemorrhoidectomy is a procedure usually reserved for severe or recurrent cases in which the enlarged hemorrhoidal tissue is surgically excised. Haemorrhoids are repositioned and secured using specialised stapling techniques during Haemorrhoidopexy procedures, such as Stapled Haemorrhoidopexy or Circular Stapled Haemorrhoidectomy. Hemorrhoidal artery ligation entails cutting the arteries that provide blood to the haemorrhoids, which causes them to contract. The size, location, and severity of the haemorrhoids, in addition to the patient's preferences and general health, all play a role in determining the best course of action.
 

A definitive surgical procedure called a Haemorrhoidectomy includes the complete excision of enlarged hemorrhoidal tissue. When conservative measures, including dietary changes, fibre supplements, and topical drugs, have failed to treat severe or recurring haemorrhoids, this surgery is frequently saved for those cases. A Haemorrhoidectomy, which removes the larger haemorrhoids, tries to relieve pain, bleeding, and discomfort as well as give patients who have run out of other treatment options for long-term relief. Typically, wound care, pain control, and monitoring for complications are part of postoperative care.

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