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BAJAJ FINSERV HEALTH LIMITED
Fistulectomy
Find the best hospitals for Fistulectomy on the Bajaj Finserv Health platform.
Minimum Cost
₹45,000
Average Cost
₹52,500
Maximum Cost
₹60,000
- fistulectomy cost in India depends on factors like the city, hospital and doctor.
- You can convert your fistulectomy cost into easy, no-cost EMIs with Bajaj Finserv Health.
Quick links
- What is Fistulectomy Surgery?
- Types of Fistulectomy Procedure
- Fistulectomy Operation: When Is It Required?
- Preparation for Fistulectomy Surgery
- What happens before Fistulectomy surgery?
- What happens during Fistulectomy operation?
- Methods/Techniques used for performing Fistulectomy procedure
- Post Procedure details
- Risks and complications associated with Fistulectomy surgery
- Why Bajaj Health?
What is Fistulectomy Surgery?
Fistulectomy surgery is a surgical procedure designed to treat an abnormal connection or passageway between two organs or vessels which do not connect under normal circumstances, known as a fistula. Fistulas can occur in several body parts and can be caused by injury, infection, or inflammation. Fistulectomy is typically performed when the fistula causes persistent discomfort or leads to complications such as infection or abscess formation. In this surgery, the fistula is completely removed, including its internal and external openings. The exact procedure may be different, depending on the location and size of the fistula. In some cases, a section of healthy tissue may be used to cover the opening and promote healing. Fistulectomy surgery is often performed under either general or spinal anesthesia, based on the location of the fistula and the patient's overall health. The procedure generally takes one to two hours, and patients may need to stay in hospital for a few days for recovery.
Types of Fistulectomy Procedure
Anal Fistulectomy
An anal fistulectomy is typically performed for an anal fistula, which is a small tunnel that forms between the end of the bowel and the skin near the anus. The entire fistula tract is removed, which can prevent recurrent abscess formation and infection. Post-surgery, patients may need a period of recovery and may experience temporary changes in bowel habits.
Vaginal Fistulectomy
In a vaginal fistulectomy, the surgeon removes a fistula that has formed between the vagina and another organ such as the bladder, rectum, or colon. The procedure usually involves making an incision in the vagina or the abdomen, as per the location of the fistula. This procedure can help alleviate symptoms like recurrent urinary or fecal incontinence.
Enterocutaneous Fistulectomy
An enterocutaneous fistulectomy is performed to remove a fistula that connects the skin to the intestines. These fistulas can cause symptoms such as skin irritation, infection, and leakage of intestinal contents. The surgeon will remove the entire fistula tract and close the opening in the intestines. Postoperative care may include wound care and nutritional support.
Fistulectomy Operation: When Is It Required?
Chronic Fistulas:
Fistulectomy is often required in the case of chronic fistulas. These are abnormal connections or passageways between two organs or vessels that generally don't connect. When these become chronic, surgical intervention becomes necessary.
Persistent Symptoms:
If the symptoms of a fistula such as pain, discomfort, or discharge persist even after conservative management, Fistulectomy may be required. This operation helps in relieving these symptoms by removing the fistula.
Recurrent Fistulas:
In some cases, fistulas may recur after initial treatment using methods other than surgery. A Fistulectomy operation may be required in such cases to completely remove the fistula and prevent recurrence.
Complicated Fistulas:
Fistulas that are associated with other medical conditions such as Crohn's disease or those that are located in sensitive areas may require a Fistulectomy operation for effective treatment.
Preparation for Fistulectomy Surgery
Pre-Operative Consultation:
The first step in preparing for Fistulectomy surgery is a detailed consultation with the surgeon. The surgeon will explain the procedure, risks and advantages. They will also answer any of the patient's questions.
Health Assessment:
The patient’s overall health will be assessed through various tests, including blood tests, imaging studies, and possibly a physical examination. These tests help to determine the patient's fitness for surgery and to plan the operation.
Medication Review:
The surgeon will review the patient's current medications and may recommend stopping or adjusting some of them before the surgery, especially those that can affect blood clotting.
Dietary Restrictions:
The patient may be asked to fast (not eat or drink anything) for a certain period before the surgery. This is usually for about 6 to 12 hours before the operation.
Bowel Preparation:
In some cases, the patient may need to undergo bowel preparation before the surgery. This often involves taking a laxative or an enema to clear the bowel.
Consent Form:
A consent form needs to be signed by the patient before the surgery. This indicates their understanding and agreement to undergo the Fistulectomy operation.
What happens before Fistulectomy surgery?
Medical Examination:
Prior to fistulectomy surgery, a complete medical examination is conducted by the surgeon. This is to assess the patient's overall health and to determine the extent of the fistula. This may involve blood tests, clinical examination and imaging tests like MRI and ultrasonography.
Medical History:
The surgeon will take a detailed medical history of the patient. This includes previous surgeries, chronic diseases, allergies, and the medications the patient is currently taking. This information helps the surgeon to plan the surgery and to avoid potential complications.
Preparing for Surgery:
The patient will be advised to stop eating and drinking for several hours before the surgery. If the patient is taking any medications, they may need to stop or adjust the dose before the surgery. The patient is also advised to have a bath with antiseptic soap on the day of the surgery to reduce infection risk.
Anesthesia:
Fistulectomy surgery can be performed under local, regional, or general anesthesia. The anesthesia type will depend on the location and extent of the fistula, as well as the patient's general health. The anesthesiologist will explain this to the patient before the surgery.
What happens during Fistulectomy operation?
Surgery Procedure:
During a fistulectomy, the surgeon makes a small incision in the skin over the fistula. The fistula tract is then opened up and scraped out. The wound is left open to heal from the inside out. This helps to prevent a new fistula from forming.
Duration:
The surgery duration depends on the complexity of the fistula. Simple fistulas can often be treated in less than an hour, while complex fistulas may require a longer operation.
Post-Operative Care:
After the surgery, the patient is moved to a recovery room where they are closely monitored until the anesthesia wears off. Pain medication is given for the patient's comfort. The patient will also be advised on how to care for the wound at home, which involves regular cleaning and dressing changes.
Follow-up:
The patient will need to return for follow-up visits so the surgeon can monitor recovery and healing. The surgeon will also remove any stitches or dressings during these visits.
Methods/Techniques used for performing Fistulectomy procedure
The most common method for performing a Fistulectomy procedure is the traditional surgical method. This involves making an incision at the site of the fistula, removing the entire fistula tract, and then closing the surrounding tissue. This procedure may be done under local or general anesthesia; it depends on the size and location of the fistula.
Another method is the advancement flap procedure. This involves creating a flap of tissue that is used to cover the fistula's internal opening. The flap is then stitched into place, effectively closing off the fistula.
• Laser Fistulectomy is a relatively new technique that uses laser energy to remove the fistula tract. This method is less invasive and may result in less post-operative pain and quicker recovery. However, it may not be suitable for all types of fistulas.
Post Procedure details
After the Fistulectomy procedure, patients are typically observed for a few hours before being discharged. Pain and discomfort are common post-procedure, but these can be managed with prescribed pain medication.
Patients will need to keep the surgical area clean and may be prescribed antibiotics to prevent infection. Regular follow-up is necessary to monitor healing and to check for any complications.
Strenuous activities and activities involving heavy lifting should be avoided for a few weeks after the procedure. Depending on the procedure and individual healing process, some patients may require a temporary colostomy to allow the fistula to heal.
Risks and complications associated with Fistulectomy surgery
As with any surgical procedure, Fistulectomy surgery carries some risks. These can include infection, bleeding, and reaction to anesthesia.
Specific to Fistulectomy, there is a risk that the fistula may recur, particularly if the entire fistula tract is not removed. There is also a risk of damage to the anal sphincter, which can result in incontinence.
Some patients may experience changed bowel habits or discomfort during bowel movements. In rare cases, a Fistulectomy can lead to the development of an abscess or the formation of a new fistula.
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DisclaimerThe cost of fistulectomy depends on the following factors: the city, the hospital that is selected, the complexity of the procedure and the room chosen by the patient. The price range mentioned here is an approximation of the surgery cost; Bajaj Finserv Health does not claim that these prices are an exact estimate. For exact information about surgery charges, it is best inquire at the selected hospital.