Top Fistulectomy Doctors in India

Max Hospital, India houses some of the best specialists for Fistulectomy that are trained to provide best treatments available with the latest technology. The doctors can be consulted at India through in-hospital appointments and video consultations. Learn more about Fistulectomy doctors’ qualification, background, specialization and experience. Book doctor appointments online, check OPD timings at one of the best hospitals in India.

Frequently Asked Questions

Fistulectomy is a surgical procedure to remove a fistula, an abnormal tunnel-like tract that forms between two organs or between an organ and the skin.

Fistulectomy is performed to treat persistent or recurrent fistulas that cause symptoms such as pain, itching, infection, discharge, or interfere with daily activities.

Fistulectomy is typically performed under anaesthesia. The surgeon makes an incision to expose the fistula tract, removes the tract, and repairs any associated damage to the surrounding tissues. Nowadays, minimal access to anorectal surgery and lasers have changed the scenario.

Fistulectomy is commonly performed for anal fistulas, which are abnormal tracts between the anus or rectum and the skin. Other conditions, such as fistulas related to Crohn's disease or infections in different parts of the body, may also require fistulectomy.

Fistulectomy is generally considered a minor surgical procedure, but the extent of surgery may depend on the complexity and location of the fistula.

Possible risks and complications of fistulectomy include bleeding, infection, recurrence of the fistula, damage to surrounding structures, and incontinence (rare in anal fistulectomy).

The recovery time after fistulectomy depends on the extent of the procedure and individual factors. Complete healing and recovery may take a few weeks to several months. But with the advent of VAAFT- minimal access to anorectal surgery means early recovery.

Some degree of pain and discomfort is expected after fistulectomy. Your surgeon will provide pain management strategies to help alleviate the discomfort during recovery. Very less pain is expected in minimal access surgery.

While fistulectomy aims to remove the entire fistula tract, there is a small chance of recurrence. The recurrence rate varies depending on the underlying condition and individual factors.

In most cases, fistulectomy is performed as an outpatient (daycare/one-day stay) procedure, and patients can go home on the same day. However, in some complex cases or if there are complications, a short hospital stay may be necessary.

Yes, you will have follow-up appointments with your surgeon to monitor the healing progress, remove any sutures, and assess for any signs of complications or fistula recurrence. Follow-up is very important in both open and video-assisted surgery.

Anal fistulectomy carries a low risk of incontinence, but it is rare. The risk depends on the location of the fistula, the extent of surgery, and individual factors. Your surgeon will discuss the potential risks with you before the procedure. Today, risks are fewer because MRI is performed before surgery, which can set a roadmap for the required interventions.

Yes, certain types of fistulas, such as anal fistulas, can be treated with minimally invasive techniques like endoanal or video-assisted anal fistula treatment (VAAFT), which offer the advantages of faster recovery and reduced pain compared to traditional open surgery.

Depending on the type and location of the fistula, alternative treatments such as fistula plug, fibrin glue, or seton placement may be considered. The treatment choice depends on individual factors and the surgeon's recommendation.

The time to resume normal activities will depend on the extent of the surgery and your overall recovery. Your surgeon will provide specific guidelines on when you can continue work, exercise, and other activities.

Fistulectomy is generally avoided during pregnancy unless absolutely necessary. The risks and benefits of the procedure will be carefully assessed, and alternative treatments or conservative management may be considered.

Yes, fistulectomy can be performed on children, especially for conditions such as anal fistulas. The specific approach and technique may vary depending on the child's age and the surgeon's preference.

Your surgeon may provide specific dietary instructions after a fistulectomy. In some cases, a high-fibre diet and increased fluid intake may be recommended to promote regular bowel movements and prevent constipation. No spicy food for 4-6 weeks is usually recommended.

Fistulectomy generally does not affect fertility or sexual function. However, certain types of fistulas or their underlying causes may have implications for fertility or sexual health, and these aspects should be discussed with your healthcare provider.

A scar is likely to form at the incision site after fistulectomy. The appearance of the scar may vary depending on factors such as the location of the incision, individual healing, and scar care techniques.

Review

FAQs reviewed Dr. Alok Gupta, Associate Director, Laparoscopic / Minimal Access Surgery, General Surgery, Bariatric Surgery / Metabolic.

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