Anorectal Surgery
Anal Fistula/ Fistula In Ano treatment in Chennai
Fistula in an/Anal Fistula (also known as POWTHIRAM in Tamil)is a tract or a tunnel lined by epithelium connecting the skin around the anus and the mucous membrane inside the anus.
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- BillrothShenoy Nagar
Key facts about Anal Fistula/ Fistula In Ano
- Condition
- Anal Fistula/ Fistula In Ano
- Speciality
- Anorectal Surgery
- Approach
- Keyhole where suitable
- Treated by
- Dr. Kumaragurubaran
- Hospital
- Billroth, Shenoy Nagar
- Consultations
- Mon–Sat, no referral
What is Anal Fistula/ Fistula In Ano?
Fistula in an/Anal Fistula (also known as POWTHIRAM in Tamil)is a tract or a tunnel lined by epithelium connecting the skin around the anus and the mucous membrane inside the anus.
In simple words fistula is a tract or tunnel going from an
external opening in the skin around the anus, transversing under the skin and piercing the sphincter muscles, and going into the anus and opening into an internal opening inside the anal canal. The anal fistula is an infected tunnel between the skin and the anus.
Symptoms of Anal Fistula/ Fistula In Ano
The signs patients most often describe. Anything lasting more than a few weeks is worth having examined.
- Usually presents with a swelling in the skin outside the anus which bursts discharging pus and persistent wound/hole remains discharging pushpin and swelling around the anal area, Fever and chills, Feeling tired and sick, Redness, soreness, or itching of the skin around the anal opening, Us drainage near the anal opening, Bleeding along with the stool
What causes Anal Fistula/ Fistula In Ano?
- The most frequent cause of an anal fistula is an anal gland that has become infected with pus (abscess)
- Some diseases
- Including Crohn’s disease
- Can also cause a fistula, or it could occur following cancer radiation treatment, Anal fistulas can also be brought on by surgery and anal canal injury.
How Anal Fistula/ Fistula In Ano is diagnosed
No operation is planned on a guess — the diagnosis is established first.
- Anal Fistula is diagnosed by Physical examination
- MRI Fistulogram
- Fistulography
How Anal Fistula/ Fistula In Ano is treated
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Many times the treatment of fistula involves the excision of the
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This is known as fistulectomy.
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This can be done in simple fistula
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Fistulotomy: Sometimes the fistula tract is laid open instead of excision of the whole tract.
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This is called fistulotomy.
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Seton Knotting : In cases of high fistula many times it may not be possible to excise or remove the whole tract in single surgery.
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So in cases of high fistula the thread known as seton may be inserted into the higher part of the fistula and the lower part of the fistula may be removed in stage one surgery.
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After two months the seton with the remaining fistula may be removed in the second stage.
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It stands for ligation of intersphincteric fistula.
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It entails closing (ligating) the portion of the fistula that travels between the two sphincter muscles (intersphincteric),typically with stitches before the surgeon may removes the entire fistula tract from this space or scrape out the infected tissue inside.
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This procedure typically happens after a seton knotting procedure.
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In this telescope is passed through the fistula and the inner lining is cauterized and the internal opening is closed.
Keyhole versus open surgery
Typical differences for a planned procedure in a generally healthy adult. Your own risks are discussed with you before consent.
| Measure | Open surgery | Keyhole |
|---|---|---|
| Incision | One cut, 10–15 cm | Three or four cuts, 5–10 mm |
| Hospital stay | 3–5 nights | Same day to 1 night |
| Back to desk work | 4–6 weeks | About 1 week |
| Wound infection risk | Higher | Substantially lower |
| Scarring | One long scar | Marks that fade |
| Still right when | Dense adhesions, bleeding, unclear anatomy | The large majority of planned cases |
Why patients choose this practice
Diagnosis before decision
No operation is scheduled on a guess. Many patients who arrive expecting surgery leave with a treatment plan instead.
Costs in writing, first
A written estimate covering surgeon, theatre, anaesthesia, implants and expected stay before you are asked to consent.
Keyhole most of the time
Ninety-five per cent of procedures are completed through keyhole access; the rest are open because open was the safer call.
Second opinions
If surgery has been advised elsewhere, bring the scans and the plan. Reviewing another surgeon’s recommendation is routine.
About the surgeon
Treated by
Dr. Kumaragurubaran
Senior Surgical Gastroenterologist, Advanced Laparoscopic, GI & Robotic Surgeon
MBBS, MS (General Surgery), MRCS (England), FIAGES (Gastro), FALS (Colorectal, Bariatric, Hernia, Robotic), Dip. ALS (Advanced Laparoscopy)
Gastroenterologist, GI & Laparoscopic Surgeon at Billroth Hospitals in Shenoy Nagar, Chennai. Treats Hernia, Reflux, Obesity, Colorectal, Gastrointestinal and Anorectal conditions, and provides medical treatment for GERD, Gastritis, Peptic ulcer, Jaundice, Pancreatitis, Colitis and IBD.
Anal Fistula/ Fistula In Ano: frequently asked questions
What is Anal Fistula/ Fistula In Ano?
Fistula in an/Anal Fistula (also known as POWTHIRAM in Tamil)is a tract or a tunnel lined by epithelium connecting the skin around the anus and the mucous membrane inside the anus.
What are the symptoms of Anal Fistula/ Fistula In Ano?
Usually presents with a swelling in the skin outside the anus which bursts discharging pus and persistent wound/hole remains discharging pushpin and swelling around the anal area, Fever and chills, Feeling tired and sick, Redness, soreness, or itching of the skin around the anal opening, Us drainage near the anal opening, Bleeding along with the stool.
What causes Anal Fistula/ Fistula In Ano?
The most frequent cause of an anal fistula is an anal gland that has become infected with pus (abscess). Some diseases. Including Crohn’s disease.
How is Anal Fistula/ Fistula In Ano diagnosed?
Anal Fistula is diagnosed by Physical examination. MRI Fistulogram. Fistulography.
How is Anal Fistula/ Fistula In Ano treated?
Many times the treatment of fistula involves the excision of the. This is known as fistulectomy. This can be done in simple fistula.
Who treats Anal Fistula/ Fistula In Ano in Chennai?
Dr. Kumaragurubaran, Senior Consultant Gastroenterologist, Laparoscopic, GI & Robotic Surgeon at Billroth Hospitals, Shenoy Nagar, Chennai, treats Anal Fistula/ Fistula In Ano. He has 28 years of experience and has performed more than 20,000 laparoscopic surgeries.
How do I book a consultation for Anal Fistula/ Fistula In Ano?
You can call +91 93603 91740, message on WhatsApp, or send the appointment form on this site. No referral is needed and most patients are seen within the same week. Consultations run Monday to Saturday at Billroth Hospitals, Shenoy Nagar.
Medically reviewed by Dr. Kumaragurubaran, MS (General Surgery), DNB (Surgical Gastroenterology), Senior Consultant at Billroth Hospitals, Shenoy Nagar. This page is patient education and does not replace a consultation in which you have been examined.
Next step
Discuss Anal Fistula/ Fistula In Ano with Dr. Kumaragurubaran
Bring any scans or reports you already have. You will be told plainly what is wrong, what the options are, and what happens if nothing is done.