How to Prevent Recurrence of Anal Fistula I Tips To Prevent Recurrence of Fistula I Dr Nitish Jhawar
Автор: Dr Nitish Jhawar, Laparoscopic Surgeon Navi Mumbai (Apollo Hospital)
Загружено: 2020-09-11
Просмотров: 184468
Описание:
How to Prevent Recurrence of Fistula I 4 Factors to prevent recurrence of Anal Fistula I
Best Treatment options for Fistula I Dr Nitish Jhawar, Navi Mumbai
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For more details About Dr. Nitish Jhawar, General, Laparoscopic, Colorectal surgeon and Surgical Gastroenterologist, Neoalta Clinic Vashi Navi Mumbai and Apollo Hospital Navi Mumbai visit our website https://www.laparoscopicsurgeonmumbai...
TimeLine of video:
0:33 What is Anal Fistula – Anal fistula Kya Hai
1:16 Types of fistula
1:26 Treatment options for Fistula
1:45 Why Anal Fistula Recur
Four important tips to prevent recurrence of Fistula
1:52 -factor 1 - control Patient Risk factors for fistula complications
2:24 – factor 2 - Timely and proper assessment of patient and treatment
• DRE
• Proctoscopy
• Internal opening identification. Side branches pocket, high bilateral
• Imaging MRI or endoanal ultrasound
4:47 – factor - 3. Surgeon dependent factors – During operation factors
4:58 – 3a - Fistula Treatment Options- Depends upon Type and Complexity of Fistula
• Fisulotomy
• Fistulectomy
• Fistulectomy --with sphincter-saving procedures
• Sphincter saving SLOFT and LIFT
• LASER and fixation procedures
6:01 -- 3b - Identification of Internal opening and side branches of fistula
8:15—4th factor - Proper Post-operative Care of the Fistula
Avoid Constipation
Wound care and anal area hygiene - Irrigation and hot-sitz bath
Follow up visits to the surgeon
10:28 - Summarizing all 4 factors to prevent recurrence of Anal Fistula
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