Operation open surgery in fistula fissur

Are you facing any issues like Difficulty in controlling the urge to pass stools , lack of control ( incontinence) If you donot have incontinence , it’s ok you will recover slowly

The surgery performed appears to be appropriate rather than excessive. Since you had multiple anorectal conditions together—a low intersphincteric fistula, chronic fissure, skin tags/polyp, and hemorrhoids—it is common practice to treat all of them in a single sitting. Performing one combined procedure often reduces the need for repeated surgeries and allows all the affected tissues to heal together. Recovery after this type of surgery usually takes 4–8 weeks, with gradual improvement in pain and wound healing. For a smooth recovery: Take all prescribed medicines, including painkillers and stool softeners. Eat a high-fiber diet and drink 2–3 litres of water daily to avoid constipation. Take warm sitz baths for 10–15 minutes, 3–4 times a day and after every bowel movement. Keep the area clean and dry; a small amount of blood-stained discharge is common initially. Avoid straining during bowel movements and avoid heavy lifting for 2–4 weeks. Attend all scheduled follow-up visits with your surgeon. Seek urgent medical attention if you develop fever, increasing swelling, severe bleeding, foul-smelling pus, inability to pass urine, or worsening pain instead of gradual improvement. If you tell me how many days it has been since surgery, whether you have pain, bleeding, discharge, difficulty passing stool, or any problem with bowel control, I can guide u better.

The combination of procedures performed is standard, necessary, and would have been appropriate as the operating surgeon would have clinically examined prior to procedure. Also I would be able to give an better opinion if I know how many days it's been since your procedure and what are your exact symptoms you're facing right now. Nevertheless be rest assured, I'll help you out When multiple perianal conditions coexist—such as an intersphincteric fistula, a chronic fissure with skin tags, and an internal pile mass—addressing them all in a single surgery is necessary to ensure complete healing and  avoid multiple procedures. Fistulectomy & Repair: Safely closes the abnormal tunnel while protecting muscle integrity. Fissurectomy & Removals: Clears away chronic barriers to tissue healing. Advanced FGHAL Procedure: Effectively shrinks the 3 o'clock hemorrhoid by cutting off its blood supply.Tissue-Sparing Design: Avoids painful tissue excision to keep you comfortable.

Your primary recovery focus must be on keeping stool soft, maintaining hygiene, and managing discomfort. Implementing regular care habits will directly prevent complications and speed up tissue repair. Eat High-Fiber Foods: Consume plenty of fruits, vegetables, and whole grains daily.Hydrate Constantly: Drink 2 to 3 liters of water every single day. Take Stool Softeners: Use your prescribed softeners exactly as directed by your doctor. Avoid Straining: Never push or sit on the toilet for prolonged periods. Take Warm Sitz Bath: Soak for 15 to 20 minutes, 2 to 3 times a day. Clean Gently: Pat the area dry after washing instead of using abrasive wiping. Take Medications on Schedule: Use all prescribed antibiotics and pain relievers precisely as directed. Rest Completely: Avoid heavy lifting or vigorous exercise until cleared by your team.

While mild discomfort, slight blood spotting, or minor discharge is typical, certain red flags require emergency care. Monitor your body closely during the first two weeks of healing. Seek immediate medical attention if you experience: An inability to pass urine. Heavy or continuous bright red bleeding. A high fever or severe chills. Worsening pain not relieved by your medication.

Sitz bath High fiber diet Syp lactulose 15 ml Night Apply 7% sucralfate ointment after defecation for 15 days To help in early recovery

Best judgment of treatment is the performing surgeon only as He is the only one seen the preop case ,I did not know the preop condition so Can’t comment on ,surgery is excessive or inadequate. Although for Low intersphincteric fistula ,fistulotomy is often enough ,and depending on aNal tone ,one decide for Fissure surgery :LIs or fissurectomy.. for recovery you need to avoid constipation/straining while passing stool,Take laxative ,Sitz bath ,it takes time .

Follow the advise

The surgical approach described is not necessarily bad or unnecessary if all the conditions (low intersphincteric fistula, chronic fissure with sentinel polyp/skin tags, and symptomatic hemorrhoids) were present. Fistulectomy/fistulotomy with primary sphincter repair is an accepted option for selected low fistulas. Fissurectomy with polyp/tag removal is appropriate for chronic fissures, and FGHAL is a sphincter-preserving treatment for suitable hemorrhoids. Performing these procedures together in a single sitting is common when clinically indicated and may avoid multiple operations.

Follow your surgeon’s advice and attend scheduled follow-ups. * Take warm sitz baths 3–4 times daily and after bowel movements. * Maintain soft stools with a high-fiber diet, adequate water intake, and stool softeners if prescribed. * Take prescribed pain medications and antibiotics as advised. * Avoid straining, heavy lifting, and constipation during recovery. * Contact your surgeon immediately if you develop fever, increasing pain, heavy bleeding, inability to pass urine, or foul-smelling discharge.

Recovery after combined anorectal surgery usually takes 4–8 weeks, depending on the wound size and extent of surgery. Mild pain, bleeding, and discharge during the initial healing period are expected. Whether every component of the surgery was necessary can only be judged after reviewing the preoperative examination findings and intraoperative assessment, so discuss the operative details with your treating colorectal surgeon before concluding that any procedure was unnecessary.