Fistula in Ano or Anal Fistula is caused by abnormal communication between the epithelialized surface of the anal canal and the skin surrounding the anus. Anal Fistulae originate from the anal glands which are located in between the internal and the external anal sphincter. They drain further into the anal canal. Blockage of the outlets of the anal glands leads to the formation of an abscess which eventually can extend to the surface of the skin. The tract thus formed is called a fistula. If the fistula seals over, pus can accumulate and abscesses can re-occur. It is an extremely perplexing disease.
Minimally Invasive Anal Fistula Treatment (MAFT) Surgical procedure is carried out under general or spinal anaesthesia and involves utilizing the external opening of the fistula. Hi and complex fistulae can be managed without damaging the sphincter thus maintaining control over defecation.
Fistuloscope having various channels is inserted through the external opening to visualize the fistula tract and to localize the internal opening. A solution made of glycine mannitol (also known as irrigation solution) is then allowed to inflate and define the fistula track. This further helps localizing the internal opening of the fistula track by gently advancing the fistuloscope through the track.
Once the internal opening has been located, the Surgeon sutures the opening. The surgeon then examines the entire track for secondary fistulae or abscess cavities. In case of presence of abscess cavities and secondary fistulae, they are drained and a fulguration is performed with the help of a flexible mono-polar electrode. The damaged tissue is removed with the help of an endobrush that is passed through the fistuloscope. Internal opening is then disconnected by firing a stapler. A temporary dressing is then applied at the external opening. Patient usually gets discharged the next day and may resume work in 2 - 3 days without any need of repeated dressings.
Dr. Nikhil Agnihotri, expert Laparoscopic Surgeon provides Anal Fistula Treatment in New Delhi with MAFT Surgery in Delhi, India. Contact us to know more about treatment and cost.
Authored By Dr.Nikhil Agnihotri
Thank you for getting me such good care and service. My surgery went wonderful, and I felt no pain after the laparoscopic surgery. The staff & nurses treating me were most sympathetic & helpful in every way. Every request by me & my family was granted with warmth, love & affection. VIEW MORE POST+
I sincerely appreciate all care by Dr Nikhil . I had a wonderful experience and a highly professional medical service. Your hospitality was great. I am okay and I have resumed work.. VIEW MORE POST+
Very impressed with the advanced knowledge of proper procedure. Doctor extremely knowledgeable and explained details well. Attentiveness of doctors & nurses post-op beyond our expectations. Everyone in the staff is efficient and thorough constantly caring for us.VIEW MORE POST+