{"id":3859,"date":"2024-08-26T15:14:39","date_gmt":"2024-08-26T12:14:39","guid":{"rendered":"https:\/\/proctology.gr\/?p=3859"},"modified":"2024-08-26T15:14:40","modified_gmt":"2024-08-26T12:14:40","slug":"treatment-of-anal-fistula","status":"publish","type":"post","link":"https:\/\/proctology.gr\/en\/treatment-of-anal-fistula\/","title":{"rendered":"Treatment of anal fistula"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">The only available treatment for anal fistula is surgical. Treatment with antibiotics has temporary results and the problem may recur in a more extensive way. A preoperative mapping of anal fistula with endoanal ultrasound contributes to a better understanding of fistula\u2019s anatomy.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The best treatment for simple low fistulas is lay-open. That is the tissue covering fistula is divided and the fistula tract comes to the surface (simple fistulotomy). The secondary healing of the wound is easy and pain is minimal.<\/p>\n\n\n\n<h2 class=\"gb-headline gb-headline-5542e1d9 gb-headline-text\">Complications of surgery<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">If the ramifications or the anal opening are not treated, fistulas reappear.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If a significant part of anal sphincter is divided, fecal incontinence may be a major complication of fistulotomy.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In the case that anal fistula runs through a significant part of anal sphincter, then they are labelled as high or intersphincteric anal fistula.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Specialized surgical techniques for treatment of high anal fistulas.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The successful treatment of high anal fistulas require special surgical techniques because sphincter damage and fecal incontinence may result from the simple lay-open technique in this category of anal fistulas.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>The best known techniques for the management of anal fistulas are the following<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Staged division of anal sphincter (staged fistulotomy)<\/li>\n\n\n\n<li>Insertion of a loop through anal fistula for drainage of the pus (loose seton technique0<\/li>\n\n\n\n<li>Tightening of the seton loop for preservation of anal sphincter function (tight seton technique)<\/li>\n\n\n\n<li>Insertion of collagen plug into the anal fistula (anal fistula plug)<\/li>\n\n\n\n<li>Collagen plug insertion into fistula tract (anal fistula plug).<\/li>\n\n\n\n<li>Closure of anal opening and reinforcement with a mucosal flap.<\/li>\n\n\n\n<li>Mesosphincteric ligation of fistula tract (LIFT procedure)<\/li>\n\n\n\n<li>Closure of anal opening with OTSC proctology clip.<\/li>\n\n\n\n<li>Closure of anal opening and cauterization of fistula tract with laser (FiLaC\u00ae).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">In our settings, we perform only techniques that have been approved in the National Health Systems of UK, USA or France.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">PROCTOLOGY CLINIC- ATHENS GREECE<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The only available treatment for anal fistula is surgical. Treatment with antibiotics has temporary results and the problem may recur &#8230; <a title=\"Treatment of anal fistula\" class=\"read-more\" href=\"https:\/\/proctology.gr\/en\/treatment-of-anal-fistula\/\" aria-label=\"Read more about Treatment of anal fistula\">More<\/a><\/p>\n","protected":false},"author":3,"featured_media":3860,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[63],"tags":[],"class_list":["post-3859","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fistula-abscess","generate-columns","tablet-grid-50","mobile-grid-100","grid-parent","grid-33"],"acf":[],"_links":{"self":[{"href":"https:\/\/proctology.gr\/en\/wp-json\/wp\/v2\/posts\/3859","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/proctology.gr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/proctology.gr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/proctology.gr\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/proctology.gr\/en\/wp-json\/wp\/v2\/comments?post=3859"}],"version-history":[{"count":1,"href":"https:\/\/proctology.gr\/en\/wp-json\/wp\/v2\/posts\/3859\/revisions"}],"predecessor-version":[{"id":3862,"href":"https:\/\/proctology.gr\/en\/wp-json\/wp\/v2\/posts\/3859\/revisions\/3862"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/proctology.gr\/en\/wp-json\/wp\/v2\/media\/3860"}],"wp:attachment":[{"href":"https:\/\/proctology.gr\/en\/wp-json\/wp\/v2\/media?parent=3859"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/proctology.gr\/en\/wp-json\/wp\/v2\/categories?post=3859"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/proctology.gr\/en\/wp-json\/wp\/v2\/tags?post=3859"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}