What to do if anal fistula recurs

What should I do if anal fistula recurs?

Anal fistula is a relatively serious anal disease. When anal fistula occurs, it usually causes pain and is accompanied by pus and inflammation around the anus. Anal fistula disease requires active treatment. However, anal fistula is a disease that can easily recur if care is not taken after surgery. In fact, if you want to prevent recurrence, you need to do a good job of prevention in normal times. What should you do if anal fistula recurs?

What to do if anal fistula recurs?

1. Feces, intestinal fluid and gas in the intestinal cavity continue to enter the fistula, stimulating the wall of the tube, causing the connective tissue of the wall to proliferate and thicken, making it difficult for the lumen to close;

2. The existence of an internal opening. Although the abscess has ruptured or been incised and drained, the primary source of infection, such as anal sinusitis or anal gland infection, still exists, and the intestinal contents can continue to enter the fistula from the internal opening;

3. Most of the tubes pass through the anal sphincter at different heights. The contraction of the sphincter hinders the discharge of pus, resulting in poor drainage.

4. The anus cannot rest, the abscess cavity is not easy to adhere, and during defecation and urination, the anal sphincter is often in spasm due to sphincter contraction or inflammation stimulating the anal sphincter;

5. The drainage of the abscess cavity is poor, or the external opening is reduced, and it is sometimes closed and sometimes ulcerated. Pus accumulates in the cavity, causing the abscess to recur and rupture to form new branches or fistulas. In addition, tuberculosis, Crohn's disease, ulcerative colitis, etc. are all causes of recurrent anal fistulas.

The best way to treat anal fistula

Anal fistula is a chronic, pathological channel between the perianal skin and the rectum and anal canal. It is often formed after rupture of anorectal abscess or incision and drainage, and is mainly related to anal gland infection. It is generally composed of three parts: the primary internal opening, the fistula and the secondary external opening. The main symptoms are local recurrent pus discharge, pain, and itching, and fistulas leading to the anus or rectum can be touched or explored.

Surgery is the main means of treating anal fistula. The main purpose of surgery is to remove the lesion, ensure smooth drainage, minimize sphincter damage and protect anal function. The fistula is cut open and, if necessary, the scar tissue around the fistula is trimmed appropriately to ensure smooth drainage and gradual healing of the wound. Relevant preparations are required for 1 to 2 days before the operation. Patients with continuous epidural anesthesia, combined anesthesia and general anesthesia can eat liquid food and get out of bed after lying down for 6 hours after returning to the ward after the operation. Patients with local anesthesia can eat and get out of bed after the operation.