Here are the side effects of Laser Fistula Surgery:

How is laser surgery done for fistula?: By the heat energy produced in fistula laser treatment melts the tissue that causes the fistula tunnel to remain open and contains germs. At the same time, the proteins in the tissue melt and the tissue cools seconds after the laser fire ends. As the tissue cools, the proteins also cool and turn into something that blocks the tunnel. In this way, the fistula is clogged, the microbes inside are killed, and bad tissues are burned. The absolutely necessary condition for this theoretical benefit to be realized in practice is that there should be no abscess focus within the fistula. If an abscess focus remains even in an area of ​​half a centimeter (MRI cannot see abscess focuses below 1 cm), the closed tunnel turns into a paradise for microbes and they multiply rapidly, melting the plug and the fistula recurs. This result is an important side effect. Fistula may recur in a short time and the process begins again for the physically and psychologically tired patient.

We must follow technology in medicine, but can or should every technology be used for every disease? Benefit and harm analysis of laser fistula surgery should be done in the best possible way. Today, it is claimed that a laser solution can be found for fistula in 15 minutes. However, whether you are suitable for this procedure should be carefully analyzed by the doctor. Because fistula recurrence is a common occurrence in patients treated with laser.

Laser treatment for fistula success rate:In the literature, the success rate of laser fistula treatment has been reported as 50%. It is known that it does not exceed 80% in any application. In order for this operation, which has such a low probability of success, to be preferable to traditional surgery, the patient’s condition must be evaluated well.

During laser fistula surgery, the presence of fluid in the fistula tract may cause the laser beams to reach deeper. Since this condition damages the patient’s muscles, undesirable Laser Fistula Surgery Side Effects such as gas and stool incontinence may occur.

What Causes Anal Fistula?

Anal fistula can be caused by various factors. It is generally caused by strain in the anal region, difficult defecation, episodes of diarrhea or constipation. However, it is also known that certain intestinal parasites, bacteria and fungi, and Crohn’s disease can lead to anal fistula.

In some cases, an anal fistula can be indicative of serious intestinal problems. If the anal fistula is recurrent, it can bring about issues related to the intestines and digestive system. Therefore, in cases where an anal fistula is suspected, it is essential to use colonoscopy, MRI, and other imaging methods to identify the underlying cause of the anal fistula.

What are the Causes of Anal Fistula?

Anal fistula and anal abscess, like many inflammatory diseases, disrupt the body’s balance. Advanced anal fistula can lead to excessive sweating, fever, and systemic symptoms. The most common symptoms of anal fistula are:

• Pain in the anal area
• A feeling of fullness and swelling in the anal area
• Difficulty in sitting and walking
• Redness around the anus and surrounding area
• Persistent foul-smelling or bloody discharge
• Painful defecation

These symptoms highlight the discomfort and complications associated with anal fistula, emphasizing the importance of proper diagnosis and treatment.

What is a fistulotomy?

It is a  a surgical procedure used to treat a fistula.

What happens after a fistula removal?

Steps to ensure proper healing and prevent complications are:

Pain Management, Wound Care, Activity Restrictions, Diet and Hydration, Follow-Up Appointments.

What are the side effects of fistula surgery?

Infection, bleeding, pain and discomfort, bowel incontinence, recurrences, scarring are the possible side effects of fisitula surgery.

Can a fistula recur after laser surgery?

Yes, there is always that possibility.

When can I leave hospital after a fistula surgery?

You might go your home same day.

How do I recover from fistula surgery?

Heavy lifting and sexual activity should be avoided for several weeks. The surgery area should be hygienic and dry.

How is a fistula treated?

Treatment for Simple Fistulas:

• Cut open skin and muscle around the tunnel for healing.
• Use a plug to close the fistula.

Treatment for Complicated Fistulas:

• Insert a tube (seton) into the opening.
• Surgical options may be needed.

Is laser fistula surgery painful?

Since anesthesia is usually applied during surgery, the pain is minimized.

Fistula Laser Treatment Cost

Laser fistula surgery cost varies depending on many factors. But unfortunately, you have to pay thousands of dollars for an effective result.

Laser Fistula Surgery Recovery Time

Recovery after laser fistula surgery can range from a few weeks to a few months. You should use the medications prescribed by your doctor regularly, comply with activity restrictions and never miss your follow-up appointments. In addition, every special situation, such as your general health condition and whether you have a smoking habit, plays an active role in your recovery process.

What is fistula laser closure?

Fistula laser closure (FiLaC) is a relatively new sphincter-sparing technique in fistula surgery that was initially reported in 2011. It involves the radial dissipation of laser energy in the fistula tract and, through a combination of coagulation and shrinkage of the tract, is proposed to result in progressive sealing of fistulas.

What happens if a laser fistula is left untreated?

Fecal Incontinence, Persistent Pain and Discomfort, Formation of Abscesses, Sepsis, Peritonitis can be listed as the long term outlook of untreated fistula.

What happens if you delay laser fistula surgery?

When you delay laser fistula surgery, you accept the risk of infection and the possibility of worsening symptoms.

What are the indications of laser surgery for fistula?

We have listed below the indications for laser surgery for fistula:

• Situations where traditional surgical methods fail or are not suitable.
• Cases where the fistula is complex or difficult to treat.
• Situations in which fistula recurs.
• Situations where a minimally invasive approach based on advanced technology is preferred.
• Situations where the fistula must be made impermeable.
• complications after laser fistula surgery

What is the recovery period after laser fistula surgery?

You usually recover between 2-4 weeks after laser fistula surgery. However, this time may vary depending on your general health condition and the complexity of the surgery.

Is there pain after laser fistula surgery?

Pain after fistula surgery recovery: There may be mild to moderate pain after surgery. This pain usually subsides within a few days and can be controlled with painkillers prescribed by your doctor.

Is it normal to experience bleeding after fistula surgery?

What is the success rate of laser fistula surgery?

Laser fistula surgery success rate is quite high, usually ranging between 70-90%. However, this rate may vary depending on your general health condition and the location of the fistula.

Infection risk after laser fistula surgery

Yes, as with any surgery, there is a risk of infection after laser fistula surgery. However, with proper hygiene and care, this risk can be minimized. Using the antibiotics recommended by your doctor will reduce the risk of infection.

What are the long-term effects of laser fistula surgery?

You usually see positive effects. Most patients return to their normal daily activities after surgery, and the fistula is unlikely to recur. However, in rare cases minor discomfort or recurrence of the fistula is possible.

What is the recurrence rate of fistula after laser surgery?

The recurrence rate of fistula after laser surgery is low, usually between 10-20%. This risk depends on the type of fistula and your general health.

Post-operative care for laser fistula surgery

It is important to keep the area clean and dry after surgery. You should apply dressings as recommended by your doctor and use the specified medications regularly. Additionally, you should avoid heavy activities and take care of a balanced diet.

Laser fistula surgery vs traditional surgery

Laser fistula surgery is less invasive than traditional surgery and recovery time is shorter. It comes with less pain and bleeding, and you can usually return to your normal activities faster.

Can you see a scar after a fistula surgery?

Yes, it’s possible to see a scar.

Can fistula surgery cause swelling?

How effective is laser surgery for fistula?

Laser surgery is very effective in fistula treatment. In most cases, successful results are achieved and patients recover completely.

Laser fistula surgery healing process

The healing process is usually rapid. You can return to your normal activities a few days after the surgery. Post-operative care and following the doctor’s recommendations will speed up the healing process and reduce the risk of complications.

Patient reviews of laser fistula surgery

Most patients are satisfied with laser fistula surgery and state that the pain is low and the healing process is fast. However, each patient’s experience may be different and some patients may experience minimal discomfort or complications.

Diet after laser fistula surgery

After laser fistula surgery, your diet should be rich in fiber and you should consume plenty of water. This regulates your bowel movements and reduces the risk of constipation. It is also important to avoid spicy and heavy foods.

Can fistula come back after laser surgery?

Yes, although rare, fistula may reoccur after laser surgery. However, the risk of recurrence is generally low and following the doctor’s recommendations further reduces this risk.

Laser surgery for anal fistula recovery time

You will usually recover within 2-4 weeks. However, this time may vary depending on your general health condition and the complexity of the surgery.

What are the fistula surgery recovery risks?

• Infection
• Bleeding
• Swelling
• Pain
• Delayed wound healing
• Recurrence of the fistula
• Incontinence
• Scarring
• Reduced mobility
• Urinary or bowel complications

Laser treatment for anal fistulas: what are the pitfalls?

• In complex or deep fistulas, laser treatment alone may not be sufficient.
• If the anatomical structure of the fistula is complex or if post-treatment care is inadequate, there is a risk of recurrence.
• Side effects such as pain, bleeding, or infection may occur.
• More expensive than traditional methods.
• There is not enough data about its long-term effects.
• Treatment administered by an inexperienced physician may not produce the expected results.

Sources:

https://aybalayildiz.com/anal-fistul-tedavisi/

https://youtu.be/VgLab6fv0-s?feature=shared

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8664604/

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