Closure of Anal Fistula
Closure of Anal Fistula
The fistulae are caused by a myriad of factors, some which include trauma either during
childbirth or traumatic rape in young children or in relation to other diseases such as cancers
of the anal region, tuberculosis, diabetes mellitus, obesity or foreign bodies.
Closure of any anal fistula is of importance to avoid the leakage of fecal matter in channels
that are not anatomically appropriate and the resultant complications of the fistula such as
sepsis and social shame.
Fistula repair surgeries are indicated in the following situations:
- The patient is complaining of stool incontinence.
- It is indicated in instances where you need to eradicate the sepsis caused by the
- To spare the patient the trouble of having incontinence and the social shame(stigma)
associated with it.
How is the procedure done
- Advancement flap
Some of the fistula closing operations involve cutting and dissecting the fistula margins and
delayed healing. Is could result in bleeding with the treatment approach.
How you prepare for the surgery
- The patient is required to undergo a thorough clinical assessment to determine the
causative agent of the fistula. This makes the treatment options much more successful as one
is addressing the causative factor directly. This full examination is normally done under
anesthesia before the surgical intervention and the patient should be prepared for this.
- You are required to show up to the health care facility about a day prior to the surgery. This
will give the caregivers enough time to run the lab blood tests required and other tests that
might be required before the surgery. This gives a current update to the patients progress.
- Please discuss with your doctor if you are currently using any medication before the
procedure especially anticoagulation medication. This type of surgery can bleed a lot and the
dosage of drugs you are taking needs to be minimized or stopped altogether.
- The patient is then given prophylactic antibiotics before the surgery is done to prevent
- As of any surgical procedure that you’ll be required to be under general anesthesia, the
patient is required to fast for about 8-12 hours to avoid complications of the anesthesia.
- An intravenous line is required to feed the required drugs into the body system of the
patient. A water drip may or may not be employed.