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Surgery for Fistula in Ano Fistulotomy


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.
  • Skin
  • Intestines
  • Aorta
  • Anus: Anal fistulas are formed when perianal skin forms an abnormal connection with the surface of the anal canal.


How is the surgery performed?

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.

How long is the recovery process?

The recovery takes up to 12 weeks depending upon the type of fistula. The doctor will advise bed rest for 24 hours after the surgery. During the recovery process any kind of strenuous activity like heavy lifting and jarring movements should be avoided. There might be some cramping post the surgery which will go away in a day or two. Nausea felt by the patient immediately after the surgery is due to the anesthesia. The patient might also feel constipated after surgery in such a case he/she can ask doctors for remedial medicines. In case of bleeding, urination related issues, fever and pus formation in the incisional region it is better to get in touch with the doctor.

Why Should You Choose To Get Treated Under Dr. Mutharaju?

Dr. Mutharaju is Laparoscopic surgeon and a Bariatric surgery specialist with 21 years of experience in performing various surgeries; by choosing to get treated under him one can rest assured that he/she can expect a full recovery and a permanent solution for their problems.

How Should One Get Ready For The Procedure?

The doctor will recommend a complete physical examination in order to check if the patient is healthy enough for the surgery. On the day of the surgery the doctor will recommend the patient to stop eating and consuming liquids few hours before the operation. If the patient is taking supplements, blood thinners and medications for any other medical conditions they will be asked to not take it before the procedure.

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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“A disorder involving excessive body fat that increases the risk of health problems. Obesity often results from taking in more calories than are burned by exercise and normal daily activities. Obesity occurs when a person's body mass index is 25 or greater. The excessive body fat increases the risk of serious health problems. The mainstay of treatment is lifestyle changes such as diet and exercise”


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Our goal is to deliver quality of care in a courteous, respectful, and compassionate manner. We hope you will allow us to care for you and to be the first and best choice for healthcare. We will work with you to develop individualised care plans, including management of obesity diseases. We are committed to being the region’s premier healthcare network providing patient centered care that inspires clinical and service excellence.




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