What is Anal Fistula?

An anal fistula is a small channel that can develop between the end of the bowel and the skin near the anus. An anal fistula can cause bleeding and discharge when passing stools – and can be painful.

An anal fistula can occur after surgery to drain an anal abscess. In some cases, an anal fistula causes persistent drainage.

In other cases, where the outside of the channel opening closes, the result may be recurrent anal abscesses. The only cure for an anal fistula is surgery.

Symptoms of anal fistulas

Pain, which is usually constant, throbbing and worse when patient is sitting down, Skin irritation around the anus, including swelling, redness and tenderness, Discharge of pus or blood, Constipation or pain associated with bowel movements. Infection may worsen and lead to perianal sepsis leading to Fever.

Ignored fistula will keep making tunnels branching below skin or in rectum leading to multiple communication.

Ignored fistula patients may come with complains of stool and gas passing through fistula opening.

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Video Assisted Anal Fistula Treatment

Video-assisted anal fistula treatment (VAAFT) is a novel minimally invasive and sphincter-saving technique for treating complex fistulas. Karl Storz Video Equipment is used. Key steps are visualization of the fistula tract using the fistuloscope, correct localization of the internal fistula opening under direct vision, endoscopic treatment of the fistula and closure of the internal opening using a stapler or cutaneous-mucosal flap. Diagnostic fistuloscopy under irrigation is followed by an operative phase of fulguration of the fistula tract, closure of the internal opening and suture reinforcement with fibrin thrombin glue.

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, fistuloscopy helps to identify any possible secondary tracts or chronic abscesses. The VAAFT technique is sphincter-saving, and the surgical wounds are extremely small.

Advantage

  • Non Invasive little pain, early recovery back to work quickly
  • If Failure can be used again
  • Very Low risk of incontinence
  • Very good Minimally Invasive approach for complex deep seated abscesses and fistulas esp Crohn’s Fistulas
  • VAAFT can be combined with any other technique like Seton and standard open surgical Method by being able to directly visualize and reach high internal opening

Disadvantage

  • Risk of reopening of internal Fistula opening
  • Risk of Recurrence and Multiple Surgeries

Vaaft Surgery

The Fistula is the passage which forms a connection between two body surface areas and it is nothing but a big problem for the human body. This problem can occur in any part of the body or you may say that the fistula can communicate from the anus (rectum) to Vagina (Recto-Vaginal Fistula), Urinary Bladder (Recto-Vesical Fistula), Urethra (Recto-Urethral Fistula) or other pelvic structures, including the bowel. The most common type of fistula is anal fistula which is an abnormal passage between the interior of the anal canal or rectum and the skin surface around the anus. The treatment of fistula majorly includes surgery which little costly but a patient can get the best vaaft surgery cost in Delhi.

Symptoms and treatment of fistula

The fistula is such a problem which can be suffered by people of all age group and might be very painful for some. Discussing the most common fistula which is an anal fistula, it causes bleeding and discharges at the time of defecating. The amount of blood depends upon how severe or at what condition the fistula is. The main reason for the fistula is the surgery where abscess opens spontaneously into the anal canal. The other reasons for fistula might be tuberculosis and many other diseases. The symptoms of fistula are not so evident at an early stage. It comes in the focus of the person when there are a purulent discharge and pus coming around the opening of asshole anus. The symptoms are that the other tissues start to cause itching and discomfort. The treatment of the fistula includes medication comprising of the antibiotics, surgery and some home remedies only if the condition is not so severe. The surgery is not available at all location but vaaft surgery in Delhi is the best. Due to less number of treatments available for fistula, it is very costly a patient can get the best vaaft surgery cost in Delhi. The treatment of fistula with the medicine does not cure the problem completely rather it stops the source from where it begins. On the other hand, the surgery of the anal fistula is a complete cure from the problem.

Dr Ashish Bhanot

Chief Of Bariatric Surgery & Surgical Gastroenterology Nova Hospitals

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