Suggest Treatment For Anal Fistula
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Have gone through your details and i appreciate your concerns.
Anal fistula is a chronic abnormal communication between the epithelialised surface of the anal canal and the perianal skin,In a lay mans language it is breach of external skin and this breach results in direct communication of your anal canal with external enviroment and pathogens
.It can be a potential source of infection if left untreated.Its just like a open wound where skin is breached this break in the skin provides a route for the germs to travel from the outside to the inside.
Even the pus inside the fistula can spread further leading to formation of multiple tracts and several opening in the skin around the anus. This makes the fistula more complex and further difficult to treat.Yellow liquid is pus
There is a risk, though low, of cancer formation in the long standing Anal Fistulas. Therefore, Fistulas should always be treated at the earliest.
If some how the bacteria's come in contact with blood this may result even in life threatening condition like Sepsis also.Mortality rate of patient landing up in shock due to sepsis is as high as 90%.
I hope i answered your query well,Feel free to as
So i would suggest you to go for VAAFT.
This is not my opinion. It's published by NCBI. So there is no scope of personal biasing.
You can check the validity of thios data personally by visiting NCBI.
Video-assisted anal fistula treatment (VAAFT) is a novel minimally invasive and sphincter-saving technique for treating complex fistulas.
As per the standard data of NCBI(National centre of biotechnological information) a facility funded by XXXXXXX govt data's are-
From May 2006 to May 2011, 136 patients were operated using VAAFT. Ninety-eight patients were followed up for a minimum of 6 months.
1)No major complications occurred. In most cases, both short-term and long-term postoperative pain was acceptable.
2)Primary healing was achieved in 72 patients (73.5%) within 2–3 months of the operation.
3)Sixty-two patients were followed up for more than 1 year. The percentage of the patients healed after 1 year was 87.1%.
These are the data's published by NCBI on its registered site.These data's are followed by almost every institute of gastroenterology world wide.
"The main feature of the VAAFT technique is that the procedure is performed entirely under direct endoluminal vision. With this approach, the internal opening can be found in 82.6% of cases. Moreover,As fistuloscopy has already identified a possible secondary tracts its easy to close them. The VAAFT technique is sphincter-saving, and the surgical wounds are extremely small.
Before coming to complications i would like to give you a briefing about what is pus and what does it indicate,This will help you to understand the intensity of your problem better.Pus is a thick, whitish to yellowish material composed primarily of dead cells that generally forms as a byproduct of bacterial infections. The inflammatory cells that participate in the body’s immune response at the site of an infection eventually degrade and die, creating the substance known as pus. When pus forms within enclosed spaces in the tissues, it causes abscesses.Formation of pus with pain indicate active bacterial infection.Agony is that antibiotics are not effective if pus formation is there.Only thing which can help apart from surgery is Draining pus regularly from abscess.
Follow up answer.
Its a simple out patient procedure.
Resident would use local anesthetic(xylocaine) into the syringe using the 18-gauge needle and inject skin surrounding the abscess using the 27-gauge needle. Make an incision directly over, extending the entire length of the area of greatest fluctuance after that he/she would use forceps to stretch open the incision, allowing the contents of the cavity to drain.
Its a 30 minute procedure
After that you would be given broad spectrum antibiotic and anti inflammatory wound healers for 10 days.
Hope i was helpful.
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Get well soon.
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