Is laser treatment good for fistula?

Fistula tracts shorter than 30 mm were associated with a primary healing rate of 58.3% while tracts longer than 30 mm were cured in only 16.6% of cases (p < 0.02). Conclusions: Laser closure is a safe and effective treatment for transphinteric anal fistula.


Is laser treatment successful for fistula?

Laser closure of the perianal fistula is the minimally invasive and low complication rate procedure which is a life-saving way for complex fistulas, preserving anal sphincter injury. Unfortunately, wide range success rate reported before (30-80%), the investigators are searching to reach better rates.

Which treatment is best for fistula?

A fistulotomy is the most effective treatment for many anal fistulas, although it's usually only suitable for fistulas that do not pass through much of the sphincter muscles, as the risk of incontinence is lowest in these cases.


Which is better laser or open surgery for fistula?

Laser fistula treatment is able to spare the sphincter muscle. Therefore, the chance of post-procedure incontinence is much lower than it is for fistulotomy. In a study out of Hospital Santo Spirito in Italy, none of the 35 patients who underwent laser ablation for their fistulae experienced incontinence as a result.

How is fistula treated by laser?

During the laser procedure, a precise amount of laser energy is introduced in the fistula tract through the thin laser probe. After inserting the laser, fistula tissues are destroyed and the laser probe is pulled back closing the tract. The procedure takes only a few minutes by leaving the healthy tissues intact.


Anal Fistula Treatment with Laser. Painless and best recovery for fistula - Dr. Rajasekhar M R



Can fistula come back after laser surgery?

As aforementioned, recurrence of anal fistula may be attributed to poor postoperative care after surgery. Hence, regular follow-up with careful office examination is required to ensure proper healing of the surgical wound and detect early recurrence.

Can fistula recur after laser surgery?

Fistula has a tendency of recurring and can only be treated with surgery. Some patients notice fistula recurrence after fistulotomy. It is estimated that the recurrence rate is approximately 7-21%, primarily depending on the type of fistula, and the surgical procedure that was used to remove the fistula.

How long does it take to recover from laser fistula surgery?

Most people can go back to work and their normal routine 1 to 2 weeks after surgery. It will probably take several weeks to several months for your fistula to completely heal. This depends on the size of your fistula and how much surgery you had.


How can I reduce my fistula without surgery?

Ksharsutra ( treatment for fistula without surgery) is a thread coated with certain Ayurvedic medicines known for their antiseptic, debridement & healing properties. After u v sterilization this medicated thread (ksharsutra) is used under complete aseptic precautions in the patients.

How can I control my fistula without surgery?

There is no fistula treatment without surgery, fistula cannot heal on its own.

Is fistula laser surgery painful?

Here, in most cases the patient would be given anaesthesia and the surgery is done without major cuts and wounds. The reason why most people choose laser treatment is because: Almost painless.


Can you live with a fistula without surgery?

Fistula tracts must be treated because they will not heal on their own. There is a risk of developing cancer in the fistula tract if left untreated for a long period of time. Most fistulas are simple to treat.

Is surgery the only option for fistula?

Some fistulas may heal with the help of antibiotics and other medications, but most require surgery.

What happens after laser fistula surgery?

The wound from fistula surgery will continue to drain after surgery, especially if a person has a seton drain. This drainage is important and helps remove the infection from the body. Ask a doctor about proper wound care.


Is fistula permanently curable?

Treatment. Once you have an anal fistula, antibiotics alone will not cure it. You will need to have surgery to cure the fistula.

Is surgery permanent cure for fistula?

After that, the patient has several options for surgical removal of fistula including Fistulotomy, Advancement Rectal Flap, LIFT, Seton Placement, Muscle flap, Laser surgery, etc. Among them, laser treatment is the safest, easiest and quickest cure for fistula. The laser treatment is the permanent cure for fistula.

What happens if a fistula is not removed?

Fistulas can cause a lot of discomfort, and if left untreated, may cause serious complications. Some fistulas can cause a bacteria infection, which may result in sepsis, a dangerous condition that can lead to low blood pressure, organ damage or even death.


What should be avoided in fistula?

Foods to avoid for fistula:
  • High-fat Dairy products: Double fat milk, cheese and other heavy milk and cream products should be avoided as they are harder to digest and can cause stomach ailments.
  • Fast food: Fast foods are no doubt delicious and mouth-watering to taste.


Which cream is best for fistula?

Sucral Ano Cream 20 gm belongs to a class of medications called 'anorectal preparations' primarily used in the treatment of anal fissure (small tear in the anus lining), fistula (abnormal skin opening near the anus) and piles (inflamed and swollen veins in rectum).

Is walking good for fistula?

It is important that patients are able to rest for several days following the surgical procedure. During this time, they should allow their bodies to recover, and avoid sitting or walking for too long. Many people find it more comfortable to wear loose-fitting clothes during the recovery period.


Can a fistula come back after surgery?

Unfortunately, despite proper treatment and complete healing, an abscess or a fistula can come back. If an abscess comes back, it suggests that perhaps there is a fistula that needs to be treated. If a fistula comes back, additional surgery will likely be required to treat the problem.

How many times can a fistula come back?

Recurrence of the Fistula

For some patients, the fistula will recur after the surgery. It is estimated that the recurrence rate is approximately 7-21%, primarily depending on the type of fistula, and the surgical procedure that was used to remove the fistula. Fibrin glue, for example, has a high recurrence rate.

Which surgeon is best for fistula?

A Proctologist is a specialist who deals with anorectal conditions like fistula, piles, fissure etc. These conditions are otherwise treated by general surgeons, the doctors who normally treat conditions like appendicitis, hernias, gall-bladder stones etc.


What is the fastest way to recover from a fistula surgery?

How can you care for yourself at home?
  1. Rest when you feel tired. ...
  2. Try to walk each day. ...
  3. You may drive when you are no longer taking pain medicine and can quickly move your foot from the gas pedal to the brake. ...
  4. Most people are able to return to work within 1 to 2 weeks after surgery.
  5. Shower or take baths as usual.


When should a fistula be removed?

What You Should Know About Fistula Removal. While some fistulas can be treated with antibiotics and other medication, fistula removal surgery may be necessary if the infection doesn't respond to medication or if the fistula is severe enough to require emergency surgery.