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What is fistulotomy?

Fistulotomy is a surgical procedure used to treat ‘fistula’. A fistula occurs when two organs or vessels form abnormal connections, which are otherwise not connected.

Where does the fistula occur and what are its types?

Fistula may occur in the following regions: Urinary tract and vagina: Fistula occurring in the urinary tract forms abnormal connections with other organs. This includes vagina called vesicovaginal fistula, where there is hole between the vagina and bladder. urethrovaginal fistula where a hole is formed between the vagina urethra. Anus: Anal fistulas are formed when perianal skin forms an abnormal connection with the surface of the anal canal.
There are 3 types of anal fistulas:

  • Anorectal fistula: it forms between anal canal and skin surrounding the anal opening.

  • Rectovaginal fistula: in this a hole develops between vagina and the rectum.

  • Colovaginal fistula: in this type a connection occurs between the colon and vagina.

How is the procedure carried out?

There multiple reasons for ectopic pregnancy to occur they are as follows: Procedure: A general anesthesia will be administered to the patient and as a result the patient will be asleep during the surgery. Once the patient is asleep the process begins by making incisions near the belly button and a small device is inserted which is called a port; it creates an opening that will be filled with gas (carbon dioxide) in the abdomen region. Then a small camera is inserted through a port in order to see the organs properly, once proper visibility is achieved more ports are inserted through which instruments go through, Ovary is examined and cysts are located which are then slowly separated using instruments. Some amount of bleeding may occur at this point and measures will be taken by the doctors to prevent blood loss by keeping a constant supply of blood; the cysts are then cut into pieces and removed. The openings are closed through surgical glue or dissolvable stitches. The process might take 2 to 3 hours.

What are the advantages of this surgery?

The surgery involves small incisions which take very less time to heal and as a result the patient can return back to normal life within no time. The surgery also leaves minimal scars.

What are the treatments available?

Surgery is the best solution available for fistula; it is either carried out by open method or by minimally invasive method of laser surgery.
Open method:
This is an outpatient procedure that lasts for an hour and the patient is discharged after it. Mostly local anesthesia is used if the fistula is small and general anesthesia is used if the fistula is a little big. During the procedure the surgeon cuts open the abnormal connection between two organs by making an incision. The bleeding is contained and slowly the fistula is separated and removed. The procedure is minor and can be addressed by the doctor instantly.
Laser surgery:
The minimally invasive laser surgery to treat the fistula is called Fistula laser closer or laser ablation of fistula tract. This is an outpatient procedure that is completed within an hour and the patient can return home the very same day. During the procedure a laser beam at 360 degrees is delivered onto the fistula from outside. The laser makes the tissue shrink. The laser is slowly withdrawn at the rate of one centimeter every three seconds and there by sealing the openings behind it gradually. The internal openings are then sealed by stitches. During the procedure the laser beam cuts the fistula and separates it.

Frequently Asked Question's(FAQ's)

1. How Do I Find a Bariatric Surgeon?

Clearly, you want a bariatric surgeon who is very experienced in this specialty area. Research shows that the more experienced the surgeon, the lower the risk of death or complications during or after the surgery. To identify an excellent surgeon, collect a list of names. Ask friends and family members. Ask coworkers. You might be surprised -- lots of people often know others who have had weight loss surgery and want to share their doctor's name.

2. How Will My Physical Appearance Change After Weight Loss Surgery?

As you start losing weight, you will likely be thrilled with your new appearance. However, many people who lose a lot of weight often find their skin looks loose and baggy. You may want plastic surgery to remove this excess skin.

3. Will My Social Life and Relationships Change After Weight Loss Surgery?

Your relationships with friends and family may indeed change after weight loss surgery. For many people, food and drink are the basis for socializing. After weight loss surgery, you must find other ways to socialize -- ways that aren't focused on food.

4. Will I Feel Like Myself After I Lose Weight?

Losing a significant amount of weight is no small matter. In fact, the effects are profound and far-reaching. Life may seem disconcerting at times. You may feel odd, not quite like yourself. You may feel overwhelmed by the lifestyle changes you must make for the rest of your life. You may have reached for food as comfort -- and have difficulty giving it up. A therapist can help you get through this complicated period. A support group can also help. Ask your doctor about support groups for people who have had weight loss surgery. It helps to meet people who are making the same adjustments you're making -- and can help keep you on track with your weight loss program.

5. What Lifestyle Changes Are Necessary After Weight Loss Surgery?

Over time, some people regain weight despite bariatric surgery. Some eat high-calorie or high-fat foods instead of healthy foods -- and eat them too often. Some people rely on "soft meals" such as ice cream and milk shakes. The body itself may change over time, too, leading to weight gain. The digestive tract might begin absorbing more calories. Even the size of your surgical stomach can expand gradually over time.

6. How Much Weight Will I Lose After Surgery?

After gastric bypass surgery, most people can expect to lose between 66% and 80% of their extra body weight. Most of this is lost within the first two years. After gastric banding, people lose 40% to 50% of their extra weight, typically within the first two years after the surgery.

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