How is fistula laser surgery done?
The procedure consists of delivering laser energy at 360° within the lumen of fistulas by means of a radial fiber which is slowly withdrawn from the external orifice. Laser ablation is limited to the lumen of fistulas making the technique ‘sphincter-saving’.
Table of Contents
Which method is best for fistula?
A fistulotomy is the most effective treatment for many anal fistulas, although it’s usually only suitable for fistulas that do not pass through much of the sphincter muscles, as the risk of incontinence is lowest in these cases.
How do you treat a blind fistula?
For example, a blind or incomplete fistula may be treated differently than a complete fistula. For the period inbetween the discovery of a fistula and surgery being performed to correct it, a temporary fix in the form of a prosthetic may be used such as the palatal obturator used to occlude a cleft palate for example.
How do you close a fistula hole?
A medical plug to close the fistula and allow it to heal. A thin surgical cord, called a seton, placed into the fistula to help drain any infection and allow it to heal. Opening up the fistula with an incision along its length to allow it to heal. Medical glue to close the fistula.
Is laser surgery successful for fistula?
Fistula tracts shorter than 30 mm were associated with a primary healing rate of 58.3% while tracts longer than 30 mm were cured in only 16.6% of cases (p < 0.02). Conclusions: Laser closure is a safe and effective treatment for transphinteric anal fistula.
Is laser fistula treatment painful?
Here, in most cases the patient would be given anaesthesia and the surgery is done without major cuts and wounds. The reason why most people choose laser treatment is because: Almost painless.
Is laser treatment safe for fistula?
Conclusions: Laser closure is a safe and effective treatment for transphinteric anal fistula. The fistula length is the only significant prognostic factor when closing anal fistulas exclusively with laser: shorter fistulas have a better outcome.
Is laser treatment for fistula painful?
Can fistula be cured with laser?
How successful is laser treatment for fistula?
The Italian study of laser treatments showed a 71.4 percent success rate. In the German study, the success rate was 81.8 percent. In either case, the procedure was more successful than other fistula treatments designed to spare the sphincter muscles.
How long does it take to recover from laser fistula surgery?
Most people can go back to work and their normal routine 1 to 2 weeks after surgery. It will probably take several weeks to several months for your fistula to completely heal.
What is the success rate of laser fistula surgery?