There is a chance of 2 per 10,000 head population per year to be affected by anal fistula. With the frequent peak incidence being higher between 30 to 50 years of age. Men are likely to be affected by this condition more than women.
We strive to be the best clinic to perform fistula surgery in Chennai. Unfailing efforts of the best fissure surgeon in Chennai strengthens the medical treatments to exhibit positive outcomes.
Anal fistulas do not heal themselves and surgery is the only curative modality available. The procedural technique depends on the location of the fistula. Perirectal abscesses eventually cause cryptoglandular infections resulting in the formation of hollow, abnormal tracts. They are coated with a granulation tissue that connects the primary opening of the anal canal to the perianal skin. The goal of surgery is to cure the fistula without damaging the internal sphincter muscles. Fistula can significantly affect quality of life making surgery an imperative option. Preoperative workup will include a fistulography, endorectal ultrasonography, MRI, computed tomography, barium enema, proctosigmoidoscopy and digital rectal examination (DRE). Preceding the procedure, general or local anaesthesia with IV sedation is administered. Rectal irrigation enemas are also performed prior to the surgery.
The procedure is carried out either in a stand-alone mode or in combination with a fistulotomy. Complex fistulas, immunosuppressed patients, multiple fistulas, anterior fistulas in women are best treated with a Seton placement.
Mucosal advancement flap – Patients with chronic fistula are recommended the mucosal advancement flap. A total fistulectomy is carried out removing both the primary and secondary tracts inclusive of the internal opening.
LIFT procedure – Called the ligation of the intersphincteric fistula tract, LIFT is a procedure that is performed on complex transsphincteric fistulas. Preservation of the sphincteric muscles is a major feature of the surgery. The intershpincteric plane is accessed and the internal opening is secured with the removal of the infected cryptoglandular tissue.
We also specialize in cases where a complex and persistent fistula-in-anus may require the creation of a diverting stoma.
Very practical approach to my dads gallbladder stone problem .. Surgery was explained well by diagrams and he performed the surgery by key holes which made it pain free for my dad . I had consulted many in the last 1 month including
The doctor was helpful. He worked with me to select the best option for treatment and helped finalize treatment. He ensured that my appointment went ahead as planned and followed up rigorously post op too. Scar was a bit larger
The doctor was helpful. He worked with me to select the best option for treatment and helped finalize treatment. He ensured that my appointment went ahead as planned and followed up rigorously post op too. Scar was a bit larger