Fistula is the name for a channel through which things can pass. Fistula is formed as an abnormal channel between the inner surface of the anal canal and the opening of the anus. This channel allows flow of fecal matter, pus and blood which keeps the area infected and results in pain, bleeding, pus drainage and discomfort during the bowel movement.
The anal glands which make fluids get blocked due to many reasons and this produces bacteria which causes infection in the surrounding tissue and creates abscess. If this abscess is not treated in time then the abscess creates a path for itself to move out of the body. This path is known as fistula.
Fistulas can have many reasons like a sexually transmitted disease, tuberculosis, trauma, rectal cancer, HIV, AIDS, Syphlis, Ulcer, Surgical Complication, Injury to the rectum wall etc. The symptoms for fistula are discomfort while defecating, blood and pus from the anus, fever, chills and fatigue, foul smelling liquid from the abscess opening, recurrent chronic anal abscess. One must not ignore these symptoms as a small problem can become much more complicated if left untreated.
The first thing that you should do in such cases is to consult a good ano-rectal surgeon who would do a physical examination and diagnose the disease. Most of the anal fistulas are visible from the outside but in order to see the complete path of the fistula the following investigations are of great help - MRI, Contrast CT Fisultogram. Once the diagnosis is confirmed then the line of treatment would be decided.
The most common surgery for Fistula is known as Fistulotomy where the surgeon cuts the channel and completely drains the pus and removes the infected tissue. The surface of the channel is destroyed surgically so that scarring takes place and finally when the healing happens the channel collapses and the cavity is finished. The surgery takes about 30 - 45 minutes and the patient is discharged from the hospital in 1-2 days time. The entire healing takes about 2 weeks. Sometimes the surgeon may use a stapler to close the opening of the fistula channel into the internal body and then destroy the channel using electrocautery.
Laser Surgery for Fistula is a new technique which is completely non-invasive and can be done in OPD settings without requiring hospitalization. However for insurance patients one day of hospital stay may be required for claiming the insurance. In this surgery a Diode Laser Machine is used which is similar to the machine which is used in Hair Removal procedures by the Dermatology centres. This machine works at a different frequency than the hair removal laser and delivers different amounts of energy so that the laser achieves the same goals as an open surgery but without any pain or bleeding.
Since there are no cuts in Laser Surgery for Fistula your post procedure visit to the doctor would be minimal and you would be able to do normal work from the next day onwards. It has been seen that the recurrence rate in Laser Surgery is lesser than the open surgery and the recovery period is much shorter.
Dr Singh is one of the most qualified and extensively trained General & Laparoscopic Surgeon for doing Fistula Surgery at Shiva Hospital. The cost of Laser Fistulectomy is Rs. 85,000 - 1,20,000 while the cost of normal fistulectomy is Rs. 75,000 - 90,000. The Laser Surgery is done in daycare and the patient goes home the same day. For open surgery the hospital stay is 1-2 days. The recovery in Laser Surgery is much quicker and the patient is back to normal activities within 2-3 days of the surgery. Fistal surgeries can be really difficult in some of the patients. It is always best to get an MRI Fistulogram before planning the surgery. Sometimes redo surgery might be required within 3-4 months of the first surgery.
If you have an individual health insurance policy then this surgery is covered after a period of 2 years from the date of inception of the policy. However if you are a beneficiary of company given policy then the surgery is covered from day one. Always go through the terms of your health insurance policy like room rent capping and co-payment to avoid any kind of financial shocks later on.
Shiva Hospital at Madhepura has been launched by renowned Surgeon Dr Dilip Singh who has been serving the people of this area for the last 27 years. Dr Dilip Singh setup his first hospital as Druvit Hospital in the year 2000. He has performed more than 10,000 general and urological surgeries with excellent outcomes. Earlier the patients had to travel to Patna to get good quality medical services. Dr Dilip Singh stopped this medical travel of the patients by performing all kinds of complex surgeries in Madhepura. Dr Dilip Singh has more than 27 years of experience in the field of Surgery. He has been associated with several Medical Colleges as a teacher and trainer for the budding doctors. He has trained several surgeons in the art of Minimaly Invasive Surgical Techniques.
Shiva Hospital has deployed the latest cutting edge medical technology in the fields of Diagnostics, Surgery and Intensive Care. The hospital has 32 Slice CT Scan, Ultrasound, Colour Doppler, Echocardiography, Digital X-Ray, Laparoscope, Endoscope, Arthroscope, Ureteroscope and C-Arm. The operating rooms are fully equipped to carry out the most complex surgeries like Knee and Hip Replacement, GI Surgeries, Gynae Surgeries, Laparoscopic and Ureteroscopic Surgeries. We are performing high risk surgeries with excellent outcomes. We have a trauma centre which is equipped with all the life saving equipments and Operating room to carry out emergency surgeries and procedures. Critical patients are taken care in high tech Intensive Care Units. Premature babies are kept in state of art Neonatal ICU (NICU). We also have advanced Pathology Lab and Physical Therapy Centre.
We have deployed the best medical team to provide high quality treatment to the patients of Madhepura. We have full time consultants in the fields of Medicine, Gynecology, Obstetrics, Orthopedics, Pediatrics, General Surgery, Radiology, Pathology, Physical Therapy, Emergency Medicine and Critical Care. Our consultants have the best qualifications and long experience of successful outcomes. We have visiting consultants in the fields of Urology, Neurosurgery, Cancer Surgery and Cardiology to provide superspecialty care to the residents of Madhepura. The team of doctors is supported by qualified Medical Officers, experienced nurses and paramedical staff. The patient care services department ensures that the patients visiting the hospital get hassle free and compassionate care in salubrious environment. Now you can get high quality medical treatment in Madhepura without rushing to Patna or any other Metro city.
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Shiva Hospital
Ward No. 1, NH-106
Madhepura Singheshwar Road,
Madhepura, Bihar - 852113
Phone : +91-8800188334
Email : info@shivahospital.in
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