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Doctor insights on: Ano Fistula Surgery

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Explain the surgery to repair vaginal rectal fistula?

Explain the surgery  to repair vaginal rectal fistula?

Options: Depending on the cause of the fistula, additional diagnoses, age and health of the patient your surgeon will discuss the options. Have friends and family with you to help with this discussion. Usually diagnostic tests colonoscopy, ct scan of abdomen and pelvis are done before final surgical planning. ...Read more

Fistula (Definition)

A fistula is an abnormal connection between two places. Most commonly, it originates somewhere in the intestine and communicates to another location in the intestine or in the skin. A fistula can develop after abdominal surgery, with inflammatory bowel disease, cancer, anorectal abscess, and ...Read more


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What is surgery ileoanal or ileorectal anastomosis for ulcerative colitis?

What is surgery ileoanal or ileorectal anastomosis for ulcerative colitis?

This is when the: Colon is removed and part or all of the rectum is removed, then the small bowel or ileum is sewn/stapled to the rectum or anus, usually with the construction of a artificial rectal pouch and a temporary diverting ileostomy. ...Read more

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Is vesicovaginal fistula painful?

Is vesicovaginal fistula painful?

Usually not: A fistula is an abnormal connection between 2 organs. A vesicovaginal fistula is a connection between the bladder and vagina. There is usually no pain and the symptom is uncontrollable leakage of urine; some patients are even unaware that the origin is from the vagina. ...Read more

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Are bowel movements painful after surgery for an anal fistulotomy?

Are bowel  movements painful after surgery for an anal fistulotomy?

Post Surgery Pain: Yes. Of course. There is no ifs ands or buts about this. I would imagine your surgeon gave you some instructions and advice about your post operative course and what to expect. ...Read more

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Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl

Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl

Insert drain: Ileostomy after rectal cancer is used to protect the rectal resuturing to establish continuity in the bowel. II there is some kind of abscess and leakage it can occur where the ileostomy has been reversed or at the site of the rectal suture line which may not have been ready for closure. Interventional radiology can place a suction drain to the site and left there until everything has healed. ...Read more

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Can you heal recto-vaginal fistula without surgery?

Ussually not: Depends on the size of the fistula and whats coming though. But inpatient cases you need surgery to repair it. ...Read more

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What's causes an anastomotic leak in regards to failed ileostomy reversal surgery?

What's causes an anastomotic leak in regards to failed ileostomy reversal surgery?

Many possibilities: Many things can cause a leak--poor blood supply, too much tension on the anastomosis, poor nutrition, use of immunosuppresants such as steroids, infection, distal obstruction, etc. A recent large study from Germany showed a leak occurs in around 10% of cases. Sometimes it's treated with bowel rest and drainage of the fluid, sometimes it requires another operation. ...Read more

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What causes an anastomotic leak after an ileostomy reversal surgery? Does a surgeon usually perform an Exploratory Laparotomy to correct?

What causes an anastomotic leak after an ileostomy reversal surgery? Does a surgeon usually perform an Exploratory Laparotomy to correct?

Variety of causes: Anastomotic leaks can occur for a variety of reasons and are a known complication of GI surgery. The primary concern with anatomic leak is the passage of stool into the abdomen with the formation of abscesses and possibly systemic infections. The treatment for this is often to operate, find the leak, and wash out any stool that may have collected in the process. ...Read more

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Did anyone benefit from the surgery ileorectal anastomosis for ulcerative colitis?

Did anyone benefit from the surgery ileorectal anastomosis for ulcerative colitis?

Yes: This type of surgery which includes removal of all the colon and then an ileo-rectal pouch anastomosi is used for complicated ulcerative colitis, with complications that can be bleeding, transformation to pre-cancerous changes, or pain and fevers with failure of medications. It can be a very successful surgery with very good results, as long as the surgery is performed by a specialist in this. ...Read more

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Is there a non surgical procedure for anal fistula?

Is there a non surgical procedure for anal fistula?

Not really: There are some fistula plugs that can be used, and while it is technically "surgery", it can be way less invasive because the fistula tract is scraped, then the plug inserted. There's also something called a Seton that can be used for a while, that helps in some situations. See a colorectal surgeon for a proper evaluation and ask about these things. Hope this helps! ...Read more

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How painful is external hemorrhoid surgery?

How painful is external hemorrhoid surgery?

Care of hemorrhoids: Hemorrhoids are dilation and swelling of the expandable tissue around the rectal opening. Non operative treatment recommended, and includes bowel regimen (fiber, stool softners, laxatices to goal of 2 soft bowel movements daily) local sauves (prep h, desitin, (zinc oxide diaper cream) anti fungals, other) and hygiene (shower, hair dryer area daily). Surgery only if above fails. Post op pain is expected, manageable. ...Read more

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Could bilateral internal thoracic artery grafting increase surgical risk?

Could bilateral internal thoracic artery grafting increase surgical risk?

Not always : There is some evidence that in diabetic patients it can increase the risk of eternal wound infections. Not in non diabetics. This increase risk in diabetics has been debated and there is some recent data suggesting that it may not be true. ...Read more

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Vaginal vault prolapse surgery--what kind of surgeon performs this procedure?

Vaginal vault prolapse surgery--what kind of surgeon performs this procedure?

Vag Vault Prolapse: Generally performed by a urogynecologist. Make sure you find out in advance whether or not your doctor performs these with or without mesh, the route of surgery (vaginal vs. abdominal), and how often the doctor performs this type of procedure. ...Read more

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Can ulcerative colitis after having colostomy reversal surgery?

Not to worry: If there is no history of ulcerative colitis in the past there is no reason to believe a reversal procedure will precipitate one. If you did not have ulcerative colitis before surgery you don't have to worry about it after. ...Read more

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Is surgery necessary for rectal prolapse?

Is surgery necessary for rectal prolapse?

Up to patient: True rectal prolapse which means the rectum literally falls out of the body is rarely dangerous but causes significant symptoms. If the rectum gets caught outside it can begin to die and require emergency surgery but this is unusual. On the other hand the only way to correct or get rid of the prolapse is surgery, and there are MANY procedures that are available. Must consult Colorectal Surgeon ...Read more

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Can a colorectal surgeon fix an inguinal hernia?

Can a colorectal surgeon fix an inguinal hernia?

Depends: Many times surgeons limit the scope of their practice. They are trained to do so as general surgeons, but if after specializing in colorectal surgery, they may not have done that type of surgery recently. ...Read more

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