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laparoscopy
hernia
gallstone
rectal prolapse
appendicitis
Breast surgery
fibroadenoma
breast cancer surgery
breast conservative surgery
oncoplastic surgery
thyroid and parathyroid surgery
salivary gland surgery
parotid gland surgery
submandibular gland surgery
proctology
piles
fistula
fissure
pilonidal sinus
Urology
kidney stone
hydrocele
varicocele
phimosis
Vascular
varicose venis
spider venis
diabetic foot ulcer
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Fistula Treatment
Fistula:
Anal fistula is a small tunnel which connects the anal canal to the external skin.
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Symptoms
Swelling near the anal canal
Small openings around anal canal
Pus discharge
Pain
Causes
Crohn’s disease (an inflammatory disease of the intestine)
Radiation (treatment for cancer)
Trauma
Sexually transmitted diseases
Diverticulitis (a disease in which small pouches form in the large intestine and become inflamed)
Tuberculosis
Cancer
Diagnosis
Doctor can diagnose the fistulous opening by examining the perianal region.
Proctoscopy to look for internal opening
MRI perianal region can delineate the tracks properly.
Colonoscopy to diagnose internal openings and to rule out colonic cancers.
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Treatment
Surgery is almost always necessary to cure an anal fistula
Fistulotomy
opening of the fistulous tract in simple fistulas.
Fistulectomy- removal of the entire fistulous tract
LIFT- Ligation of the intersphinteric fistulous tract
Anal advancement flaps
Seton placement for complex and high anal fistulas.
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