Fistula treatment

In my previous article I discussed about the Cause of fistula. Basically, Anal abscess and anal fistula is arguably one disease with two faces.

The cause is inflammation in the rectum rather than the anal gland (krypto-glandular) region to bottom linea. if inflammation of skin around the anus, the skin becomes red, sore and there is a lump, the patient usually feels feverish. With the increasing collection of pus pain then the pain will also be increased, this condition is often referred to by laymen ulcer. to this stage of antibiotics alone is not going to cure the abscess, but pus should also disappear if the abscess is broken then the symptoms will disappear. Abscesses may rupture itself (spontaneous) or must be opened (incisi) in narkose. opening in narcotics generally can be performed in an outpatient context, but the patient should fast from food and drink for 6 hours prior to action.

After the pus and the wound dries out, there are two possibilities are completely healed or cured by leaving a small hole continuous discharge of pus sometimes mixed with blood. Although not hurt, but will interfere with daily life. This condition is called anal fistula

In anal fistula formed between the holes in the anal canal and surrounding the hole on the back anal. generally analfistel there (most often) or in front; if there are holes in fistel addition, we must look for other diseases that cause this fistel eg M Crohn's.

Anal fistula affects more men than women (2:1 to 3:1) so it is not like anal fissur where more women who suffer.

Anal fistula can be primary or secondary form of anal fissur the inflamed and can be simple or difficult

Therapie:

To date there is no medicine that can cure the anal fistula. The only best way is by surgery / an act.

The possibility always existed fistula recurrence (20-30%) depending on whether the fistula was too simple or difficult and fistula location itself.

In simple fistula, with a split channel and then clean the walls are almost always total to achieved. healing healing can take several weeks. Important is to keep so not quickly close the wound.

Is it simple fistula or hard, often just known time of operation / action.

In the fistula is difficult, maybe not cut in line just like that because many muscles are involved cuts and cause incontinence so that dirt can not be arrested. Here are some ways of treatment. The most frequently done is to put Seton is a string or rubber attached via channel fistula and abandoned for several months, so despite his own. Another way is more difficult is is to close the hole in the fistula with the bowel wall (advancement flap), but success is not too big.

Another way is actually relatively sedrhana but success is still small and still not commonly done is to inject a special adhesive (fibrin glue) into the fistula tract. Since about 1 year ago there was a special network (Anal Fistula Plug / AFP) are also inserted into the fistula tract and will stimulate the formation of natural tissue, the AFP will be absorbed by the body.

Complications:

The most prominent is the incontinence which time bowel movements, sewage and solid / liquid / gas can not be arrested. This situation can be for keeps but can also be for some time that heavy saja.Komplikasi but generally rare.

Prevention:

Actually there is no special prevention, but with no sense of time seeking a bowel movement should not be detained-resistant and rectal area hygiene carried out prior to their old sits in a hot or easy sweating the possibility of anal sbses / fistula can be minimized.

If the fistula has been happening a long time (sometimes up to several years) there is a possibility in the near anal hole fisula can turn into cancer.

We recommend that if there is fistula, immediately consult a medicine.