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Fistula 

Understanding Fistulas: Fistulas are abnormal connections or passageways that form between organs, vessels, or tissues in the body. In the context of gastrointestinal health, anal fistulas are common and typically develop as a result of infections, inflammation, or trauma to the anal area. They can cause pain, discharge, discomfort, and recurrent infections, impacting an individual’s quality of life.

Non-Surgical Management of Fistulas: While some fistulas may respond to conservative treatments such as antibiotics, drainage of abscesses, and lifestyle modifications, they often require surgical intervention for complete resolution. Dr. Manu Shankar emphasizes the importance of accurate diagnosis and personalized treatment plans tailored to each patient’s specific condition.

Surgical Options for Fistulas:

  1. Fistulotomy: A common procedure that involves cutting open the fistula tract to allow for drainage and promote healing. This approach is suitable for simple, superficial fistulas.
  2. LIFT Procedure (Ligation of the Intersphincteric Fistula Tract): A minimally invasive technique that involves identifying and ligating the fistula tract near the sphincter muscles, preserving sphincter function and reducing the risk of incontinence.
  3. Fibrin Glue Injection: A non-surgical option for select cases, where a biocompatible glue is injected into the fistula tract to seal it off and encourage healing.
  4. Seton Placement: In complex or recurrent fistulas, a seton (a piece of thread or material) may be placed through the fistula tract to promote drainage and gradual closure over time.
  5. Advancement Flap Repair: For certain types of high fistulas, an advancement flap may be created from nearby tissue and used to cover and repair the fistula opening, promoting healing and preventing recurrence.
  6. Laser Fistula Surgery: Combined with LIFT, if includes destruction of the fistula tract with Laser. This is limited to high fistulas.

Preparing for Fistula Surgery: Before undergoing fistula surgery, patients will receive detailed instructions and guidance from Dr. Manu Shankar, including:

  1. Pre-operative evaluations, tests, and imaging studies to assess the extent and complexity of the fistula.
  2. Clear instructions on fasting, medication management, and bowel preparation before the procedure.
  3. Counseling on what to expect during and after surgery, including potential risks, benefits, and post-operative care requirements.

Conclusion: Fistula surgery requires expertise, precision, and personalized care to achieve optimal outcomes and long-term relief for patients. With Dr. Manu Shankar’s advanced surgical techniques, compassionate approach, and commitment to patient well-being, individuals can trust in a successful surgical journey and improved quality of life. If you’re experiencing symptoms of a fistula or seeking expert guidance on gastrointestinal health, schedule a consultation with Dr. Manu Shankar today for effective treatment solutions and compassionate care.