Fistulectomia
Cost: $3,175 USD
Hospitalization duration: 2 days
What is a fistulectomy?
Fistulectomy is a surgical procedure performed to remove a fistula, which is an abnormal connection between two organs or between an organ and the skin. In the case of an anal fistula, which is the type most commonly treated with a fistulectomy, there is an abnormal connection between the anal canal and the surrounding skin. Fistulas can cause pain, inflammation, recurrent infection, and discharge in the affected area, which affects the patient’s quality of life.
During surgery, the surgeon identifies and removes the entire fistula, making sure to remove both the abnormal tract and surrounding tissues that may be infected or inflamed. This procedure is necessary to prevent future infections and to allow for proper healing.
Includes
- Medical Team
Surgery is performed by a team specializing in proctology or general surgery, who ensure complete removal of the fistula and a safe intervention.
- Laboratory
Includes complete pre-surgical studies to assess the patient’s general health and ensure that he or she is in optimal condition for the intervention.
- Office
Chest imaging examination using a chest X-ray to rule out respiratory or cardiac problems that could affect the safety of the surgery and anesthesia.
- Preoperative evaluation by Internal Medicine + EKG
A complete evaluation by an internist and an electrocardiogram (EKG) to confirm that the patient is in adequate condition for the intervention.
- Postoperative visits
Follow-up after surgery to monitor recovery, ensure wound healing, and reduce the risk of recurrences or infections.
- Pathology study
The tissue removed during surgery is sent to the laboratory for pathological analysis, which allows the diagnosis to be confirmed and any additional abnormalities to be ruled out.
Preparing for surgery
For fistulectomy, the medical team usually tells the patient:
- Fasting for at least 6 to 8 hours before surgery, especially if general anesthesia is required.
- Discontinuation of certain medications, particularly blood thinners, to reduce the risk of bleeding during the procedure.
- Adequate hygiene of the affected area, following the instructions of the medical team to ensure optimal preparation.
Recovery
Recovery from a fistulectomy can vary depending on the extent of the fistula and the area treated. During the recovery period, it is recommended to:
- Avoid strenuous physical activity for the first few weeks to allow proper healing.
- Keep the wound clean and dry, and take warm sitz baths if recommended by your doctor to relieve discomfort.
- Take painkillers as directed to control any postoperative pain or discomfort.
Most patients can resume daily activities within a week, although they should avoid exercises or movements that may open the wound until it is completely healed.
Risks and Complications
Fistulectomy is a safe procedure, but there are some associated risks, such as:
- Infection at the incision site, which may require antibiotic treatment.
- Bruising or fluid buildup in the treated area, which usually resolves on its own.
- Recurrence of the fistula, although this is rare if the procedure is performed correctly.
The medical team provides specific instructions to minimize these risks and ensure a smooth recovery.