A fistula is an irregular route or connection between two organs or veins that do not normally communicate. They can appear everywhere, including between the intestine and the epidermis, the vaginal canal, the rectum, and other areas. The anus is the most commonplace for a fistula to occur.
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Taca Healthcare offers Treatment of Fistula at very affordable rate. We also provide insurance paperwork support. TaCa Healthcare is working on a Mission to make Fistula treatment affordable in India.
Depending upon your insurance provider piles treatment is covered up to 100%. TaCa Healthcare ensures Hassle free treatment experience that too at very low cost.
Fistula procedure takes a maximum of 60 minutes to complete. Fistula treatment is a daycare procedure wherein patient can get discharged and go home early.
A fistula is an improper connection between two body cavities, such as the rectum and the vagina, or between a body cavity and the skin, such the rectum to the skin. An abscess, which is a pus-filled pocket in the body, can lead to the formation of a fistula. It’s possible that the abscess is constantly filling with body fluids like stool or urine, preventing healing. A fistula is formed when it breaks through the skin, another body cavity, or an organ.
In Crohn’s disease, fistulas are more common than in ulcerative colitis. Within 20 years of diagnosis, up to 50% of persons with Crohn’s disease develop fistulas. Surgery or wound care is usually used to treat fistulas.
Enterocutaneous – These are those that connect the intestine to the skin. An enterocutaneous fistula can develop as a result of surgery. It’s a tube that runs from the intestine to the operation site and subsequently to the skin.
Enteroenteric or Enterocolic – A fistula involving the large or small intestine is known as an enteroenteric or enterocolitis fistula.
Enterovaginal – This is a fistula that connects the intestine to the vaginal canal.
Enterovesicular – This type of fistula connects the intestines to the bladder. These fistulas can cause urinary tract infections or gas to leak into the urethra during urination.
Here are some telltale signs, depending on the type of fistula.
Treatment for fistulas varies based on where the fistula is located and how severe the symptoms are. Flagyl (an antibiotic), 6-MP (an immunosuppressant), and various biologic therapies are examples of medical treatments (including Remicade and Humira). Enterovaginal, enterocutaneous, and enterovesicular fistulas may require an enteral diet. An enteral diet is a type of liquid nourishment that is consumed orally or through a feeding tube.
Liquid nutrition formulas are nutrient-dense liquid nutrition formulations that can be used to substitute solid food. With little solid food, less stool passes through the anus, allowing the fistula to heal and possibly close.
Many fistulas will not respond to any of the aforementioned treatments, necessitating surgery and/or wound care. If the fistula is in a healthy region of the intestine, it can be removed without any intestinal removal. Resection may be necessary if the fistula is in a particularly sick region of the intestine.
A temporary ileostomy may be required after a resection. The stool is channeled through the ileostomy, allowing the fistula-affected portion of the intestine to recover. The most common types of rectovaginal and enterovesicular fistulas treated with this procedure are rectovaginal and enterovesicular fistulas.
Antibiotics and other treatments may help some fistulas heal, but most require surgery. The two main surgical approaches for treating an anal fistula are fistulotomy and seton surgery. When a fistula is sliced along its whole length and heals into a flat scar, a surgeon conducts a fistulotomy. A surgeon will implant a piece of fine surgical thread within the fistula during seton surgery to assist drain any infection and allowing it to heal.
Fistulotomy – Anal fistula surgery normally takes around one hour, but patients will need to stay in the hospital for some time before and after to prepare and recover. If the fistula is tiny and shallow, the surgery may just require a topical anesthetic. Otherwise, a general anesthetic will be used to put them to sleep. The surgeon will create an incision to open up the fistula during the fistulotomy.
Seton placement – This surgery takes around an hour for an anal fistula, but it can take longer depending on how complicated the fistula is. During the procedure, someone will be asleep. Following the placement of the seton in the fistula, the surgeon will cover it with a soft, padded dressing. A person can usually go home the same day if the procedure was uncomplicated and without difficulties. Seton implantation surgery is frequently done in phases by surgical teams, thus a person may need additional operations to alter or replace the seton. After surgery, the fistula may continue to drain for several weeks.
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