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Fistula in ano
Hi Iam Faisal. 23yrs old. Iam from palakkad Ottappalam.
MRI Fistulogram report
Clinical history : C/o swelling and pain in perianal region
Findings:
There about a 4.4 cm and 6.3 mm thick interspincteric fistula tract in right ischioanal fossa at 6-7 o'clock position with internal opening at 9 O'Clock position in lower anal canal and external opening in right paramedian perinenum. From internal opening the tract coursing slightly upward and than downward posteriorly to open externally in right paramedian perinenum. This tract appear hyperintense on STIR AND T2W images and shows diffusion restriction. No secondary tract or perianal abscess is noted.
Sr
This is fistula is simple or complex?
After fistulectomy surgery the wound will be stiched??
Please answer as soon as possible
Thank you
Answers (2)
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Margins of wound might be sutured
Some surgeons keep that open
Nothing to worry about
Next Steps
Go for fistulectomy
Health Tips
Maintain local hygiene
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As per the MRI report that you have mentioned, it is a “simple” Fistula tract, based on the fact that there is no branching noted. However, fistula takes a slightly awkward course in the intersphicteric space.
The images of the MRI would give a better understanding.
Fistula surgery can be done in the conventional way, which involves a large wound that is left back after removing the entire tract, along with some potential damage to the muscle.
Today, Laser Fistula surgery with LIFT is a proven treatment option. The wound in this case is stitched, with only a small wound left behind at the region of external opening.
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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.