Transsphincteric Fistula Treatment: Step-by-Step Fixcision Procedure
Are you struggling with a transsphincteric fistula and searching for an effective treatment? The Fixcision procedure might be the solution you’re looking for. This innovative, minimally invasive technique is designed to address complex anorectal fistulas with a targeted approach that minimizes complications. In this blog, Dr. Raviram S., a renowned fistula specialist in Thrissur, details the Fixcision procedure for treating transsphincteric fistulas. Dr. Raviram S. guides you through each step of the Fixcision technique, emphasizing its advantages and how it effectively addresses this complex condition, ensuring optimal recovery and minimal complications.
What is a Transsphincteric Fistula?
A fistula is an abnormal connection between two organs or tissues in the body. When it occurs in the anal region, it can cause persistent infection, discomfort, and pain. A transsphincteric fistula is one of the more complicated types of fistulas, extending from the internal anal canal, through the external sphincter, and often reaching the perianal skin. Due to its involvement with the sphincter muscles, careful treatment is required to avoid complications like fecal incontinence.
What is the Fixcision Procedure?
The Fixcision procedure is a relatively new, minimally invasive surgical technique designed to address complex anal fistulas, such as the transsphincteric fistula. This procedure focuses on precise excision of the fistula tract while preserving sphincter function. Unlike traditional open surgery, which may carry a higher risk of damaging the sphincter muscles, the Fixcision procedure minimizes the risk of long-term complications like incontinence.
Step-by-Step Breakdown of the Fixcision Procedure:
- Preoperative Evaluation: Before considering surgery for a fistula, a detailed evaluation is crucial. This includes a physical exam, endoanal ultrasound, and MRI to accurately map the fistula’s location and complexity. At Thrissur Piles Clinic, Dr. Raviram S., a leading Piles Specialist in Thrissur, uses advanced diagnostic tools to provide precise diagnosis and create a personalized treatment plan tailored to your needs.
- Anesthesia Administration: The Fixcision procedure is typically performed under general or regional anesthesia. This ensures patient comfort throughout the surgery. At the Thrissur Piles Clinic, a team of skilled anesthesiologists ensures that the anesthesia is administered safely, tailoring the dosage to the patient’s health profile.
- Identification of the Fistula Tract: Once anesthesia is administered, Dr. Raviram carefully identifies the entire fistula tract. This step is crucial as it ensures that the entire fistula is treated to prevent recurrence. The external and internal openings are meticulously located using a small probe or colored dye, which helps delineate the tract.
- Precise Excision of the Fistula Tract: Using specialized instruments, the Fixcision procedure involves precise excision of the fistula tract. Unlike traditional surgery, where large portions of tissue are removed, Fixcision focuses on targeted removal, preserving the surrounding healthy tissue. Dr. Raviram ensures that the excision is thorough yet conservative, reducing the risk of damage to the surrounding sphincter muscles.
- Sphincter Muscle Preservation: The hallmark of the Fixcision procedure is its ability to preserve sphincter function. By carefully navigating around the sphincter muscles, the procedure avoids cutting through them, significantly reducing the risk of postoperative complications like incontinence. This is a key advantage for patients, especially those with transsphincteric fistulas that involve the external sphincter.
- Closure and Sealing of the Tract: Once the fistula tract is excised, the internal and external openings are closed using sutures or specialized sealing techniques. The use of advanced bioadhesives or fibrin glue can be employed to seal the tract, promoting faster healing and preventing recurrence.
Benefits of the Fixcision Procedure for Transsphincteric Fistula Treatment:
The Fixcision procedure offers several benefits for treating transsphincteric fistulas:
- Minimally Invasive: The less pain patients have to face and the quicker they get out of the hospital.
- Sphincter-Sparing: This procedure strengthens the sphincter thus minimizing the chance of developing fecal incontinence.
- Faster Recovery: Patients recover quicker than with traditional fistula surgeries.
- Lower Recurrence Rate: Precise excision lowers the risk of the fistula returning.
- Less Scarring: Minimal invasiveness results in reduced scarring and better cosmetic outcomes.
Post-Operative Care:
After the Fixcision procedure, following the right post-operative care is essential for a smooth recovery. Patients should:
- Rest and Avoid Strenuous Activity
- Take Prescribed Pain Medications.
- Keep the Surgical Site Clean and Dry
- Avoid Straining During Bowel Movements
- Follow Up with the Surgeon for regular check-ups.
At Thrissur Piles Clinic, Dr. Raviram provides expert guidance to ensure a successful recovery and optimal healing.
Conclusion:
Fixcision procedure represents a groundbreaking advancement in treating transsphincteric fistulas, providing a minimally invasive solution with reduced risk of complications. Patients benefit from quicker recovery, less scarring, and a lower chance of recurrence. If you’re dealing with a transsphincteric fistula, consider consulting Dr. Raviram at Thrissur Piles Clinic. As a leading Proctologist in Thrissur, Dr. Raviram’s expertise combined with the clinic’s cutting-edge facilities ensures you receive the best possible care for effective treatment.