What is Anal Fistula Surgery (Fistulatomy)?
An anal fistula is an abnormal passage from the anus to the skin outside, typically near the upper part of the anus, caused by infected anal glands. While inflammatory bowel disease-induced fistulas may heal with medical treatment, most fistulas require surgery. Treatment varies based on severity, location, and underlying cause, with surgical procedures ranging from simple to complex.
Types of Anal Fistula Treatments
Various types of fistula surgery include:
- Video-assisted anal fistula treatment (VAAFT).
- Fibrin plug-and-glue techniques.
- Seton placement.
- LIFT procedure.
- Endorectal advancement flap.
- Fistulotomy.
- Fistula laser closure (FiLaC).
- Fistulectomy surgery.
Moreover, the best treatment for fistula will be decided by the surgeon based on the severity of the fistula and the patient’s condition.
| Procedure Name | Anal Fistula |
|---|---|
| Type of Surgery | Open, laser or minimally invasive |
| Type of Anesthesia | General or spinal anesthesia |
| Procedure Duration | 30 minutes - 2 hours |
| Recovery from Surgery | Few days to few weeks |













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