Deep post anal fistulotomy

RG planned the study and prepared the manuscript. In the study by Held, 7 patients underwent this procedure. Brought into OR and found to have a fistula in ano. This space is in continuity with both ischiorectal fossae. We did not encounter this problem during the operations; therefore, we did not need special manoeuvres in any patient. Held reviewed their data on 69 patients over a period of 10 years. Those patients, who had the abscess confined to the DPAS and an identified internal opening, underwent incision and drainage with primary fistulotomy.

Is fistulotomy still the gold standard in present era and is it highly underutilized? You should stop eating at midnight on the night before the surgery. Mayo specialists use the latest technology, including the following:. Or they may include an MRI, which makes images of the area by using special magnets and a computer. Pre-operative antibiotics will be delivered through the IV line to aid with healing and help prevent infection. Treatment of anal fistula depends on the fistula's location and complexity.

Fistulectomy was performed by threading the tract and excising it, thus removing the fistula and preventing recurrence. Diagnosis is usually made by physical examination of the peri-anal region and sometimes aided by procedures such as a fistulogram, proctoscopy, or sigmoidoscopy. If you are referred to a surgeon for the procedure, a separate appointment would be scheduled to review the findings and discuss the surgery from preparation to recovery. Fistulas are classified by their relationship to parts of the anal sphincter complex and are classified as intersphincteric, trans-sphincteric, suprasphincteric and extrasphincteric.