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    1428567842PE-Perianal Fistula - GS - PE.01.0711

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    Ronal Gope
    A perianal fistula is an abnormal connection between the anal canal and skin around the anus that can cause discharge of blood or pus. Surgical intervention like fistulotomy or seton placement is often required to treat it, with the goal of preserving muscle function and preventing incontinence. The outpatient procedure is done under general anesthesia, and patients should prepare by clearing their bowels and stopping certain medications beforehand. Recovery from surgery involves pain relief, wound care to prevent infection, and seeking medical attention for persistent issues like fever, bleeding, or severe pain.

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    1428567842PE-Perianal Fistula - GS - PE.01.0711

    Uploaded by

    Ronal Gope
    122 views2 pages
    A perianal fistula is an abnormal connection between the anal canal and skin around the anus that can cause discharge of blood or pus. Surgical intervention like fistulotomy or seton placement is often required to treat it, with the goal of preserving muscle function and preventing incontinence. The outpatient procedure is done under general anesthesia, and patients should prepare by clearing their bowels and stopping certain medications beforehand. Recovery from surgery involves pain relief, wound care to prevent infection, and seeking medical attention for persistent issues like fever, bleeding, or severe pain.

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    1428567842PE-Perianal Fistula_GS.PE.01.0711

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    A perianal fistula is an abnormal connection between the anal canal and skin around the anus that can cause discharge of blood or pus. Surgical intervention like fistulotomy or seton placement is often required to treat it, with the goal of preserving muscle function and preventing incontinence. The outpatient procedure is done under general anesthesia, and patients should prepare by clearing their bowels and stopping certain medications beforehand. Recovery from surgery involves pain relief, wound care to prevent infection, and seeking medical attention for persistent issues like fever, bleeding, or severe pain.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    122 views2 pages

    1428567842PE-Perianal Fistula - GS - PE.01.0711

    Uploaded by

    Ronal Gope
    A perianal fistula is an abnormal connection between the anal canal and skin around the anus that can cause discharge of blood or pus. Surgical intervention like fistulotomy or seton placement is often required to treat it, with the goal of preserving muscle function and preventing incontinence. The outpatient procedure is done under general anesthesia, and patients should prepare by clearing their bowels and stopping certain medications beforehand. Recovery from surgery involves pain relief, wound care to prevent infection, and seeking medical attention for persistent issues like fever, bleeding, or severe pain.

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    Perianal Fistula

    What is Perianal Fistula? How is Perianal Fistula treated?


    Surgical intervention is the treatment
    of choice. Fistulotomy is the surgical
    procedure of laying the fistula tract open,
    and allowing the wound to heal completely.

    Depending on location and severity, several


    surgeries may be required to preserve the
    muscle and prevent faecal incontinence.

    If the fistula is located in a high position


    that passes through a significant portion
    of muscle around your anus that controls
    your bowels, a seton (surgical thread or
    suture) may be inserted to allow infection
    to settle. You will need a second operation
    subsequently.
    Anal
    Canal What are the pre-operative
    Fistula preparations?
    The entire procedure takes approximately
    It is a small abnormal connection or tract 20 minutes to complete and will be done
    that links the anal canal to skin around the under general anaesthesia.
    anus. No food and drinks is allowed from
    midnight on day before procedure.
    How do I know if I have a Perianal Medication will be given prior to clear out
    Fistula? your bowels.
    Signs and symptoms include: Some medications can be taken with sips
    - Consistent or occasional discharge of water. Please consult your doctor about
    this.
    (blood or pus)
    Drugs such as aspirin, blood thinners and
    - Firm and tender lump around
    anti-inflammatory medications will need
    the anus
    to be stopped temporarily prior to surgery.
    - Pain
    - Itchiness
    What can I expect after the How to care for my wound:
    operation? - Wound may take approximately 2-3
    Pain especially on defaecation and weeks to heal.
    may lead to constipation. You should - Wound hygiene is important during
    take adequate analgesia and stool recovery process. Use shower spray
    softener as prescribed and drink plenty to flush wound until water from
    of water to facilitate bowel movement. wound site runs clear.
    Difficulty in urination usually - Towel dry wound site with clean
    temporary and resolves the next towel before wearing light clothing.
    morning.
    When to seek medical attention after
    What complications can occur? discharge?
    Bleeding from operation site - Some You should seek medical attention if any of
    yellowish-blood stained discharge from the following symptoms are present:
    the wound site is expected during the Persistent fever
    wound healing process.
    Excessive bleeding or discharge from
    Excessive bleeding
    wound site
    Recurrence uncommon but may occur
    Severe pain that is not relieved by
    in individuals with a complex fistula.
    medication
    Wound infection may occur at
    anytime during the healing process.
    It can be prevented by following the Please return to our Acute and Emergency
    advice. Care Department immediately if any of the
    above occurs.

    Disclaimer
    This material is produced for educational purposes only. Because each persons medical condition is unique,
    you should not rely on the information in this material as a substitute for personal medical attention, diagnosis
    or treatment.

    If you have questions about your need for surgery, alternatives, billing, insurance coverage or subsequent
    follow-ups, do not hesitate to consult your doctor or nurse.

    Main Line : (65) 6555 8000 www.ktph.com.sg


    The information in this brochure is correct at the time of printing and subject to revision without further notice.
    GS.PE.01.0711

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