Description

An anal fistula is an abnormal tunnel that forms between the anal canal and the skin near the anus. It usually develops as a result of an infected anal gland or an abscess. Treatment for anal fistulas typically involves addressing the infection, promoting healing, and closing the tunnel. Here are some common treatments for anal fistulas: 1. Antibiotics: If the fistula is accompanied by an infection or abscess, antibiotics may be prescribed to treat the infection and reduce inflammation. Antibiotics alone, however, cannot fully heal an anal fistula. 2. Fistulotomy: This surgical procedure involves cutting open the entire length of the fistula tract and allowing it to heal from the inside out. It is a common treatment for simple fistulas and has a high success rate. 3. Seton Placement: A seton is a piece of thread or a rubber band that is placed through the fistula tract to keep it open and allow for drainage. It helps prevent recurrent abscesses and allows the fistula to heal gradually. Setons can be temporary or permanent, depending on the complexity of the fistula. 4. Fibrin Glue Injection: In this procedure, a special glue is injected into the fistula tract to seal it and promote healing. It is typically used for certain types of low-lying fistulas with small openings. 5. Advancement Flap: This surgical technique involves creating a flap of healthy tissue near the fistula and using it to cover and seal the internal opening. 6. LIFT Procedure: LIFT (ligation of intersphincteric fistula tract) is a minimally invasive procedure that involves dividing the fistula tract and placing sutures to close the internal opening. 7. Fistula Plug: A fistula plug is a biodegradable material that is inserted into the fistula tract to seal it. Over time, the plug is absorbed by the body, and healthy tissue grows to close the fistula. The choice of treatment depends on factors such as the complexity of the fistula, its location, and the individual patient's circumstances.