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Treatment for Fistula

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A healthy fistula is a healthy patient undergoing dialysis. However, the fistula created by joining two blood vessels under the skin to make a larger blood vessel for dialysis can fail.

Fistula Treatment in Pune



There are few self-healing anal fistulas, and surgery is the only effective treatment for persistent anal fistulas.

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FISTULECTOMY - This is a surgical procedure to completely remove the fistula. When done under general anesthesia, the fistula can be removed, leaving a formed groove and healing. This procedure involves the risk of sphincter damage and fecal incontinence and is usually reserved as a treatment option for complex fistulas. Lasers are used as an adjunct to fistula resection, minimizing the risk of damage to the sphincter. Therefore, with the added benefits of lasers, postoperative incontinence is unlikely.

KSHARSUTRA - This is an ancient Ayurvedic technique where special threads are used to treat fistulas. This thread is coated with Ayurvedic preparation and inserted into the fistula.
Local irritation with alkaline threads causes chemical ablation and inflammation in the duct. As a result, the tube begins to debride. An important action of Ksharsutra is that it allows the continuous drainage of pus and debris from the tube. Healing begins in a clean environment as all infected material is released.

VAAFT ( Video Assisted Anal Fistula Treatment ) - VAAFT technology is used in the surgical treatment of complex fistulas. It is done using a fistula. The procedure consists of two phases.
1. Diagnostic Phase In this phase, the surgeon identifies the external opening in the vessel where the scope will be introduced. When this is done, the entire tube and accessory tubes are outlined.
2. Treatment Stage In this stage, the inside of the tube rises from the internal opening to the external opening. This is followed by tubing cleaning and external opening closure.

LIFT ( Ligation of Interspincteric Fistula Tract )  - This procedure is usually done for complicated or deep fistulas. First, the seton is placed in the fistula tube and the fistula is expanded over time. A few weeks later, the surgeon removes the infected tissue and closes the opening of the internal fistula. The advantage of this procedure is that the fistula is accessed between the sphincter muscles, thus avoiding sphincter amputation. However, the success rate of LIFT is about 70%, and 20-30% of cases have impaired healing.

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