Fistulectomy for perineal-rectal fistula

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Effective treatment of perineal-rectal fistulas

A general surgery procedure indicated to treat perineal-rectal fistulas, abnormal connections between the rectum and surrounding tissues. It eliminates the fistula tract, promoting healing and preventing recurrence.

How is this procedure performed? 

After administering anesthesia, the surgeon carefully identifies the fistula tract and excises it completely. In some cases, a seton may be used temporarily to help with drainage and support gradual healing. The procedure ensures minimal disturbance of surrounding tissues, followed by meticulous wound care to facilitate recovery. 

Why is this procedure important? 

For patients with perineal-rectal fistulas, fistulectomy is crucial to prevent complications such as abscess formation, recurrent infections, or disturbances in intestinal function. The procedure restores normalcy and alleviates discomfort.     

The condition

What is a perineal-rectal fistula

It is an abnormal connection between the rectum and surrounding tissues, which can cause chronic infections, discomfort, and persistent drainage. 

As long as the tract remains open, the infection tends to recur: abscesses resolve and reform in the same area.
Why not delay

Delaying treatment can lead to complications such as the formation of new abscesses, recurrent infections, or changes in intestinal function.

Warning signs

Signs that you may have a perineal-rectal fistula

  • ✔
    Persistent drainage of pus or fluid near the anus
  • ✔
    Pain or discomfort in the perineal area, especially when sitting
  • ✔
    Recurrent swelling or redness in the region
  • ✔
    Recurrent episodes of abscesses in the same area
  • ✔
    Skin irritation caused by continuous drainage
  • ✔
    Fever associated with active infection
Do not wait for it to worsen

There is no need to wait for the infection to worsen before seeking evaluation. 
If you recognize one or more of these signs, a general surgery consultation can confirm the diagnosis and indicate the most appropriate treatment.

The procedure

How is fistulectomy performed

After administering anesthesia, the surgeon carefully identifies the fistula tract and removes it completely. 

The procedure ensures minimal disturbance of surrounding tissues, followed by meticulous wound care to facilitate recovery.
What is a seton

In selected cases, a seton may be used temporarily - a surgical thread placed in the fistula tract to help drain the infection and support gradual healing.

Why is it important

Benefits of surgical treatment

Clinical evaluation

What is evaluated before the procedure

01

Fistula characteristics

Evaluation of the size, location, and complexity of the fistulous tract.

02

Surgical planning

Choice of the most effective approach for complete removal.

03

Healing potential

Confirmation that the patient is prepared for the recovery process.

04

Post-surgical support

Detailed post-operative care to ensure the best results.

Frequently asked questions

Common questions about this procedure

Is fistulectomy painful?
Can the fistula come back after surgery?

The complete removal of the fistulous tract significantly reduces the risk of recurrence, although in more complex fistulas, more than one intervention may be necessary.

What is a seton and when is it used?
How long does recovery take?

What is evaluated during the procedure?

01.

Fistula characteristics:

Evaluates the size, location, and complexity.

02.

Surgical planning:

Chooses the most effective approach for removal.

03.

Healing potential:

Ensures that the patient is ready for recovery.

04.

Post-surgical support:

Provides detailed post-operative care for optimal results.

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