Fibrin Glue or Collagen plug In some cases, fibrin glue, made from plasma protein, may be used to seal up and heal a fistula as opposed to cutting it open. It causes a chronic discharge of pus that typically has an offensive odour. Tools often used in diagnosis include: Diagnosis It is usually simple to locate the external opening of an anal fistula, meanwhile locating the internal opening can be more challenging. The use of the loose seton technique as a definitive treatment for recurrent and persistent high trans-sphincteric anal fistulas: If the internal opening is very high in the anal canal a rectal advancement flap is performed using a flap of mucosa and the underlying muscle to cover the internal opening.
A more complicated fistula, such as a horseshoe fistula where the tract extends around both sides of the body and has external openings on both sides of the anus , is treated by usually laying open just the segment where the tracts join and the remainder of the tracts are removed. The fistula may be explored by using a fistula probe a narrow instrument. Wound Care The most important part of caring for your wounds after anal fistula surgery is keeping the area clean. This content does not have an English version. Anal fistula plural fistulae , or fistula-in-ano, is a chronic abnormal communication between the epithelialised surface of the anal canal and usually the perianal skin. April Learn how and when to remove this template message. In most cases, Mayo Clinic doesn't require a physician referral.
Anal fistula - Wikipedia
A soft pillow or donut pillow will help to displace the pressure of sitting away from the site of your surgery. The tract begins in the space between the internal and external sphincter muscles or in the space behind the anus. Bleeding will typically occur after opening your bowels. A small instrument to view the anal canal If a fistula is potentially complicated or in an unusual place, these tools may also be used: These fistulas are usually caused by an appendiceal abscess, diverticular abscess or Crohn's disease.
Description: If you are having trouble making an appointment, call your doctor's office directly for assistance. This condition is common in young adults, but can occur at any age. Activity You can resume most usual activities gradually beginning shortly after surgery. The fistula may be explored by using a fistula probe a narrow instrument.