Dr. Arun S. Nair is a highly qualified and experienced fistula surgeon and gastrointestinal surgeon in Thrissur, Kerala. He has more than 13+ years of experience in surgical gastroenterology and advanced laparoscopy surgery. He trained In Advanced Gastro Intestinal Surgery at Tsukuba University Hospital Japan in 2017 and completed a Fellowship in minimal access surgery (FNB) from the National Board under Dr. C. Palanivelu at GEM HOSPITAL AND RESEARCH CENTRE, Coimbatore, India. He a vast experience in managing complex fistula problems, including those with previous surgeries and their complications. His knowledge and expertise make him one of the best fistula surgeons in Thrissur, Kerala. He has done multiple paper and video presentations at national and international conferences on Fistula treatment. In this blog, he share patient educational information related to fistula and its treatment option
An anal fistula is a narrow passage connecting the interior of your rectum to the surrounding skin. It forms when an infection originates in a gland near your rectum, leading to the accumulation of pus. Over time, this pus can develop into a small tunnel, medically referred to as an anal fistula.
The Standards Committee for the American Society of Colon and Rectal Surgeons (ASCRS) divided anal fistula into simple and complex types based on the complexity of fistula, risk of recurrence, and risk of incontinence.
Simple fistula:
Simple fistulas are those that are Intersphincteric or low Transsphincteric involving less than 30% of the external sphincter where the risk of incontinence is low.
Complex fistula:
“Complex” fistulas included those with
- More than 30% sphincter muscle involvement
- Anterior fistulas in female patients
- Recurrent fistulas
- Fistula associated with preexisting fecal incontinence, inflammatory bowel disease, or prior radiation.
Early detection of anal fistula symptoms is crucial for prompt medical attention. Common indicators include:
- Pain and Discomfort: Many individuals experience pain around the rectum, which can be either constant or intermittent and occasionally severe.
- Drainage: A significant sign is the release of substances such as pus or blood near the anus, often accompanied by an unpleasant odor.
- Swelling and Redness: Swelling and redness of the skin around the rectal area are common, along with a feeling of warmth.
- Itching and Irritation: Some individuals may also encounter itching and irritation in the affected area.
- Fever and Chills: In severe cases, an infection can result in fever and chills.
The treatment approach for anal fistulas, overseen by Dr. Arun S. Nair, depends on the severity of the condition. Here are some common treatment options:
- Incision and Drainage: In cases with a localized abscess, Dr. Arun S. Nair may perform an incision to allow the pus to drain, relieving pain.
- Fistulotomy: Surgical intervention may involve opening the entire tunnel and allowing it to heal from the inside.
- Seton Placement: Dr. Arun S. Nair might insert a thread or rubber piece through the tunnel to facilitate drainage and prevent recurrence. This thread is gradually tightened over time.
- Fistula Plug: In certain instances, Dr. Arun S. Nair uses specialized materials like glue or a plug to seal the internal opening, promoting healing.
- Laser Surgery: Laser treatment can be employed to close the fistula tunnel, reducing discomfort.
- Special Medications: Some patients may receive specific medications from Dr. Arun S. Nair to reduce swelling and aid the healing process.
- Gentle Surgery (LIFT): For complex fistulas, a minimally invasive surgical technique known as LIFT can be employed.
It’s important to note that anal fistulas typically do not improve without surgical intervention. Delaying surgery can worsen the condition, making both the procedure and recovery more challenging. As each individual’s situation varies, it’s essential to follow your doctor’s guidance regarding the timing of the surgery. If you are in Thrissur or nearby areas, you can seek treatment for anal fistulas from Dr. Arun S. Nair. For appointments, please contact us at 95399 88886.
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