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Anal fistula
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
Answers (4)
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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
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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)
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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
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Dr. Akanksh B Shetty
General Surgeon
4 yrs exp
Mangalore
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
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.