Management of Simple fistula is easy with 98% cure rate.
Complex - High fistula and recurrent fistula needs proper examination & investigation as chances of recurrence and sphincter control damage is significant, if not properly managed.
Sphincter preserving surgery & sphincter function preserving surgery are very important in managing complex & recurrent fistula.
Role of laser: Laser fistula closure is a newer approach, mainly used in complex or high fistula in ano. Must be used along with surgical control of primary cause.
Fistula in Ano and Perianal Abscess
Abscess: Pus collection near anal region which causes severe pain of short duration. Can not work properly.
Treatment: Pus should be removed!
All those patients must follow up for fistula
Fistula in ano: Fistula is a thin communication from inside anal canal to outer skin, which drain infected fluid pus.
Complains:
Repeated discharge near anal region
Soiling of underclothes
Itching
Fistula is usually a continuation of abscess.
Our Goal:
Long term recurrence free cure
Sphincter function control preservation
Less pain & early recovery
Piles (Hemorrhoid)
They are cushions of Vascular tissue normally present inside anal canal. They enlarges when intra-abdominal pressure raises repeatedly - like constipation & straining.
Depending upon grades, Symptoms Like:
Swelling
Bleeding
Protrusion of skin which may need manual reduction
Itching
Sudden severe pain & swelling when complicated
Our goal for treatment:
Longterm/Recurrence free cure
Early Recovery
Less pain
Newer Surgical techniques and MIPH - use of stapler in selected cases
Use of laser in selected cases
Anal Fissures (Fissure in Ano)
Majority of them do not need Surgery.
Can be treated by proper diet Modification.
Patient with severe discomfort OR Repeated Recurrence can be cured by simple day care procedure, which gives permanent cure.
