Anal fistula

2025-07-08 06:44:21
MRI REPORT:- A thin hyperintense track with surrounding inflammatory changes is seen originating in the natal cleft in right paramedian location extending for length of 3.5 cm traversing the transsphincteric plane with internal opening at 6 o’clock. The internal opening is around 1.9 cm from anal verge. No supra-levator extension. Best treatment for this ..any one please suggest...please
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Better go for laser tract ablation.. Procedures advanced like VAAFT(Video Assisted approach of fistulous tract) LIFT: (Ligation of interspincteric fistulous tract) may be suggested If abcess present drainage procedure must also
Next Steps
Minimal  invasive surgeries
Health Tips
Proper postoperative wound care, proper nutrition

Answered2025-08-01 14:04:43

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if no abscess u can undergo laser ablation. if abscess present drain the abscess followed by fistula procedure best treatment could be laser r ligation of intersphin ter fistula tract (LIFT)

Answered2025-07-18 18:30:35

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Diagnosis: Fistula in Ano Plan: Fistulotomy/Fistulectomy under Saddle Block according to the situation and fistulous track anatomy.
Next Steps
consult a Surgeon for Rectal examination and further treatment / planning for operation
Health Tips
continue Seitz Bath, maintain perianal hygiene, Use laxatives

Answered2025-07-10 04:00:10

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Laser fistulectomy is a minimally invasive procedure u can go with that after proper clinical examination.
Next Steps
Consult a General surgeon.
Health Tips
Get it treated soon

Answered2025-07-10 07:55:18

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