A fistulotomy is a common day surgery that is used for anal fistula treatment. It is typically done in less than an hour and is performed under general anesthesia.
The fistulotomy procedure involves making an incision in the skin and muscle tissue to open up the abnormal connection between two openings. This could potentially cause bowel incontinence if the anus or rectum is involved, or bleeding at the site.
It is also possible to experience an abscess or a recurrence of the fistula following the surgery. It is important to note that a fistulotomy is different from a fistulectomy. During a fistulectomy, the fistula is entirely removed.
This option is usually chosen in cases when the fistula is too deep or wide to be opened effectively with a fistulotomy. Before undergoing a fistulotomy, it is important to discuss the risks and benefits of the procedure with your doctor.
It is also important to discuss any potential complications that may arise from the surgery. During the consultation, your doctor will evaluate your medical history, assess the severity of the fistula, and explain the procedure in more detail.
Following the fistulotomy, you will need to take antibiotics to reduce the risk of infection and to reduce the chances of recurrence. In most cases, you will be able to return home the same day of the surgery. You may need to wear a dressing or bandage over the incision for a few days.
You should also make sure to keep the area clean and dry to prevent infection. With proper care, most people experience a full recovery from a fistulotomy within 2 weeks. However, if you experience any pain or discomfort at the site of the incision, make sure to contact your doctor.
In conclusion, a fistulotomy is a common outpatient procedure that is used to open a fistula. It is important to discuss the risks and benefits of the procedure with your doctor before undergoing the procedure.
Following the procedure, it is sometimes necessary to take antibiotics and keep the area clean and dry to reduce the risk of infection and recurrence. With proper care, most people experience a full recovery from a fistulotomy within 2 weeks.
What to Expect During the Procedure
The fistulotomy procedure is a relatively simple and straightforward procedure, though it may require a bit of preparation and planning before and after the procedure. The procedure is generally done as a day surgery, meaning that it won’t require an overnight stay, and usually only takes about an hour.
Prior to the procedure, you and your doctor will need to discuss all the potential risks of the procedure and make sure that you’re fully informed.
During the procedure, your doctor will make a small incision in your body in order to open up the abnormal connection between the two organs. This may cause some complications following the procedure, such as bowel incontinence (if the anus or rectum is involved), bleeding at the site, or a recurrence of the fistula.
If your fistula complex, your doctor may opt to perform other types of surgeries like seton insertion, ligation of intersphincteric fistula (LIFT) or endoanal advancement flap. Once the procedure is completed, you may need to avoid strenuous activities for a period of time in order to ensure proper healing.
Overall, a fistulotomy is a safe and effective procedure for treating simple anal fistulas. Make sure to consult with your doctor beforehand and discuss all potential risks and complications. With the right preparation and care following the procedure, you can ensure a successful outcome.