Fistula – Niramayaa Superspeciality Hospital

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Fistula – Niramayaa Superspeciality Hospital

Appendicitis is one of the most common causes of sudden abdominal pain requiring emergency surgery. It can affect anyone, at any age, but is most common in children, teenagers, and young adults. Because an inflamed appendix can burst if not treated in time, prompt diagnosis and treatment are essential.

At Niramayaa Superspeciality Hospital, our experienced surgical team provides 24×7 emergency care for appendicitis. Using advanced laparoscopic (keyhole) surgery, we remove the inflamed appendix safely and efficiently, helping patients recover quickly with less pain and minimal scarring.

An anal fistula is a small, abnormal tunnel that forms between the inside of the anal canal and the skin around the anus. It usually develops after an anal abscess, which is a painful collection of pus near the anus. When the abscess bursts or is drained, a tunnel may remain, leading to ongoing discharge and repeated infections.

Types of Anal Fistula:

Simple Fistula:
A single tract that passes through only a small portion of the sphincter muscle.

Complex Fistula:
Involves a larger portion of the sphincter muscle, has multiple tracts or branches, or keeps coming back. Complex fistulas require specialised surgical planning to protect bowel control.

Experienced Anorectal Surgeons:
Skilled in managing both simple and complex fistulas.

Accurate Mapping of the Fistula:
Careful examination and MRI fistulogram when needed to understand the exact path of the tract before surgery.

Sphincter-Saving Techniques:
Advanced procedures designed to protect bowel control, especially in complex cases.

Day-Care or Short Stay:
Most procedures require a short hospital stay.

Privacy & Dignity:
Confidential, respectful care in a comfortable environment

Complete Anorectal Care:
Treatment for associated conditions such as piles, fissures, and abscesses, all under one roof.

Drainage of Abscess

If there is an active abscess, it is drained first to relieve pain and control infection.

Fistulotomy

The fistula tract is opened and allowed to heal from the inside out. It is highly effective for simple, low fistulas. Complete removal of the fistula tract.

Seton Placement

A soft surgical thread is placed through the fistula to allow drainage and gradual healing. Often used for complex fistulas or as part of staged treatment.

LIFT Procedure

A sphincter-saving technique in which the tract is tied off and divided between the sphincter muscles, protecting bowel control.

Laser Fistula Treatment

A minimally invasive technique in which laser energy is used to seal the fistula tract from inside. It involves minimal cutting and is sphincter-preserving.

Advancement Flap Procedure

The internal opening is closed using a flap of healthy tissue, preserving sphincter function. Used for selected complex fistulas.

Can an anal fistula heal on its own?

Very rarely. Most anal fistulas need surgical treatment to heal completely.

Is fistula surgery painful?

The surgery is performed under anaesthesia, so you will not feel pain during the procedure. Post-operative discomfort is usually managed well with medicines and sitz baths.

Will fistula surgery affect bowel control?

Our surgeons use techniques that protect the sphincter muscle wherever possible. For complex fistulas, sphincter-saving procedures are preferred to minimise any risk to bowel control. Your surgeon will discuss this in detail.

Can a fistula come back after surgery?

Recurrence is possible, especially with complex fistulas. Accurate diagnosis, the right surgical technique, and proper follow-up care greatly reduce this risk.

Is laser treatment better than conventional surgery?

Laser treatment is minimally invasive and sphincter-preserving, and may be suitable for selected fistulas. However, it is not the right choice for every case. Your surgeon will recommend the best option based on your fistula type.

Is fistula the same as piles?

No. Piles are swollen blood vessels in the anal area, while a fistula is an abnormal tunnel caused by infection. Both conditions need different treatments, so a proper diagnosis is important.