Fistulectomy

1. Initial Consultation: During the initial consultation, the colorectal surgeon will evaluate the patient’s symptoms, perform a physical examination, and may order imaging studies such as MRI or endoanal ultrasound to assess the extent and location of the anal fistula. The surgeon will also review the risks and benefits of fistulectomy and discuss the surgical approach with the patient.

2. Preoperative Preparation: Before surgery, the patient may be instructed to fast for a certain period and discontinue certain medications that could increase the risk of bleeding during surgery. Depending on the location and complexity of the fistula, fistulectomy may be performed under local or general anesthesia.

3. Surgical Procedure: Fistulectomy can be performed using different surgical techniques, including:

   • Ligation of the intersphincteric fistula tract (LIFT): In LIFT procedure, the surgeon makes a small incision in the skin near the fistula opening and locates the fistula tract using a special probe. The tract is then ligated (tied off) at the internal opening in the anal canal to prevent further drainage and infection. The external opening is left open to allow for drainage and healing.
   • Fistulotomy: In fistulotomy, the surgeon makes an incision along the entire length of the fistula tract to expose and remove it completely. The edges of the incision are then sutured together to close the wound. Fistulotomy is typically used for simple, low-lying fistulas that do not involve the anal sphincter muscles.
   • Advancement flap repair: In advancement flap repair, the surgeon creates a flap of healthy tissue near the fistula opening and uses it to cover and repair the internal opening in the anal canal. This technique is often used for complex fistulas that involve a significant amount of surrounding tissue.

4. Postoperative Care: After fistulectomy, patients are closely monitored in the recovery room for any signs of complications such as bleeding, infection, or anesthesia-related side effects. Pain medications, antibiotics, and stool softeners may be prescribed to manage pain and promote healing. Patients are usually discharged from the hospital on the same day or the following day after surgery and provided with instructions for postoperative care and follow-up appointments.

5. Recovery and Results: The recovery time after fistulectomy varies depending on the surgical technique used, the complexity of the fistula, and the patient’s overall health. Most patients can resume normal activities within 1-2 weeks after surgery, although strenuous activities and heavy lifting should be avoided for a few weeks. With proper treatment and postoperative care, fistulectomy has a high success rate in resolving symptoms of anal fistula and preventing recurrence.

Why Choose Neo TrueNorth for Fistulectomy Treatment?

1. Colorectal Surgery Expertise: Our team of experienced colorectal surgeons specializes in fistulectomy procedures, utilizing advanced techniques and technology to achieve optimal results for our patients.

2. Customized Treatment Plans: We offer personalized treatment plans tailored to each patient’s unique medical history, symptoms, and surgical needs. Our surgeons take the time to listen to patients’ concerns and develop customized treatment plans that address their specific needs.

3. Comprehensive Care: In addition to fistulectomy, we offer a wide range of surgical services and treatments to address various colorectal conditions and emergencies, including hemorrhoidectomy, bowel resection, and anal fissure repair.

4. Patient-Centered Approach: At Neo TrueNorth, we prioritize patient comfort, safety, and satisfaction. Our surgeons provide compassionate care and support throughout the fistulectomy process, ensuring that patients feel informed and confident in their treatment decisions.

If you’re experiencing symptoms of an anal fistula or have been diagnosed with an anal fistula and are considering fistulectomy, contact Neo TrueNorth today to schedule a consultation with one of our experienced colorectal surgeons.