Perianal Fistula Laser Treatment: Procedure & Benefits
A perianal fistula is a pathological communication between the anal canal and the skin around the anus. This specific condition develops due to the blockage and consequently the infection in an anal gland. When an infection occurs, the next step is the formation of an abscess containing pus. This abscess then either drains naturally on its own or with surgery. As a result, a perianal fistula forms in the area between the skin and the infected gland. The indicated treatment for this condition is surgery. Now, perianal fistula is successfully treated with laser. This specific technique is the safest, most effective and painless treatment method.
Perianal Fistula: Treatment Options
There are a variety of treatment options available to treat a perianal fistula. Most of these involve performing surgery. The most common classic surgical techniques to treat the condition are syringotomy and syringectomy. Other techniques include placing a Seton suture to drain the fistula, placing a fibrin glue or collagen plug to close the fistula. Also, the LIFT technique can be performed to ligate the fistula.
The most modern and effective treatment method for a perianal fistula is laser therapy, which offers very significant advantages both during and after surgery. The General Surgeons in Athens apply this procedure with excellent success rates. During perianal fistula laser treatment, a laser fiber is inserted that emits heat energy into the anus. The energy emitted by the laser is applied in a defined amount peripherally, within the fistulous duct. This energy causes photothermal destruction to a controlled degree, so that the fistula collapses and eventually heals.
Perianal fistula and laser treatment: Advantages
The use of laser for the treatment of peroneal fistula excels compared to surgical techniques as it significantly accelerates the healing rate. At the same time, it keeps the anal sphincter muscle intact, minimizing the risk of fecal incontinence postoperatively, while making the risk of fistula recurrence almost non-existent. Laser treatment is indicated in case of complex perianal fistulas such as ortho-insulinic or ortho-gluteal, and can also be successfully applied to high-risk patients, such as those with heart problems, hypertension or advanced disease. age.
What is the procedure of the perianal fistula laser treatment?
This technique is performed with local or spinal anesthesia, which is applied by anesthetizing the area from the waist down, while the patient is awake throughout the procedure. All the patient feels is a small needle prick when the laser fiber is inserted, and the procedure generally takes 30 minutes.
What process does the patient follow after perianal fistula laser treatment?
The patient can drink water after the treatment is over and eat as soon as he feels hungry. He can get up and walk a few hours later, and he may feel mild pain, which subsides with painkillers. Returning home is possible after the anesthetic wears off, the patient has urinated and can eat and drink. In rare cases, an overnight stay in the hospital is recommended. The patient receives appropriate information about the post-operative care process before leaving the hospital. What he needs to be careful of after returning home is to consume enough fiber through his diet.
