Anorectal symptoms and conditions are common and may be caused due to a range of conditions. however, due to lack of awareness and fear of embarrassment patients hesitate from seeking medical help. Common anal conditions, if ignored, may cause severe implications and therefore one should always consult a specialist in case of persistant symptoms.
What is Anal Fistula?
Anal fistula, or fistula-in-ano, is a common anorectal problem in which an abnormal connection develops between the inner surface of the anal canal and the skin around the anal verge thereby causing severe pain and infection.
Why does Anal Fistula occur?
Anal glands located between the two layers of the anal sphincters (muscles which open and close the anal orifice) and draining into the anal canal are the site where these fistulae originate. It is the blockage of the outlet of these glands which cause secretions to accumulate inside and an abscess can form which can eventually point to the skin surface. The tract formed by this process is the fistula.
What is Minimally Invasive Anal Fistula Treatment (MAFT)?
Minimally Invasive Anal Fistula Treatment technique is a major breakthrough treatment option for complex fistulas.
In this technique we first examine the fistula path with an endoscope and determine the point of the internal opening of the fistula. Then the internal opening of the fistula is closed with the help of stapler and the entire path of the fistula is destroyed by electrocautery under direct telescopic vision.
There is no surgical wound in the perianal region hence no dressings needed. The risk of faecal incontinence is negligent because no sphinter damages occur. The procedure is done under spinal anesthesia/ general anesthesia. There is minimal post-operative discomfort thereby reducing the time of recovery.