Dr Manas Tripathy

 An anal fistula refers to an aberrant connection between the skin near the anus and the lining of the interior of the anal canal. Anal fistulas are commonly caused by a collection of pus, called an abscess, inside the anal canal. The pus can drain onto the skin on its own or with treatment. The fistula is caused when the pus does not heal properly. This leads to the creation of a narrow tunnel with its external opening in the skin near the anus and an internal opening within the anal canal. If the fistula reaches above the sphincter muscles, the patient may also have to undergo a temporary colostomy, but this is rare.

Treatment

Most anal fistulas require surgery since they cannot heal on their own. Non-surgical treatments may alleviate symptoms but are not permanent solutions.

Anal Fistula Surgery 

Anal fistula surgery can take several forms, depending on the location of the fistula:

• If the fistula is below or crosses the lower part of the sphincter muscles, your surgeon will cut the fistula open to the skin and leave the wound open so that it can heal with healthy tissue
• If the fistula has branches that pass through the upper part of the sphincter muscles, your surgeon may place a special stitch in the fistula to allow plus to drain easily
• The fistula may be suitable for treatment with plug made from pig-bowel tissue. Your surgeon may not need to make a cut in the sphincter muscles

Anal fistula surgery usually takes between fifteen to thirty minutes and is performed under general anesthesia.

If bowel incontinence (involuntary bowel movement) is an issue, the patient may need to go through several operations over a period of months to reduce the risk.

Complications

Normal complications of anal fistula surgery are pain, bleeding, and scarring. More significant complications may be difficulty passing urine, involuntary passing wind or lose motion. Bowel incontinence may be a major factor.

Recovery

Patients may be discharged on the same day or remain under observation for 24 hours. After going home, rest is prescribed for the first few days. You should walk as little as possible. The wound takes several weeks to heal completely and patients may need to wear pads till then.

Again, exercising can help you recover faster. Talk to your doctor about a workout routine that can best facilitate your recovery. Sometimes, the fistula can redevelop.

Dr. Manas Tripathy provides Best Anal Fistula Treatment in HSR Layout, Bangalore. Consult us Today!

To know more visit https://drmanastripathy.com/ or call us at +91 8150000200

Read more about our other Treatments and Procedure

Hernia Surgery in HSR Layout

Gallstones Treatment in HSR Layout | Laparoscopic Cholecystectomy

Piles Treatment in Bangalore | Haemorrhoidectomy

A haemorrhoidectomy is a surgery to treat hemorrhoids or piles. Piles are soft, fleshy lumps that form inside just inside the anus. They easily bleed during bowel movements. Though they are not usually painful, they can cause itching. If the lumps grow, they can protrude outside through the anus in a condition called prolapsed pile. You can feel the lump while cleaning yourself. Hemorrhoids generally develop gradually, over a lengthy duration of time and are often related to constipation. Sometimes, the condition is genetic and made worse by pregnancy.

Treatment

Hemorrhoids can often be dealt with by eating more fiber and more intake of fluid. If these measures do not work, they may be treated with ‘banding’ or dissolving the lumps with injections. If these methods do not work, patients will need to undergo a haemorrhoidectomy to surgically remove the piles.

A haemorrhoidectomy is usually performed under general anesthesia and takes about twenty minutes. The surgeon will usually just cut away the hemorrhoids or use the staple gun technique, which does not create an open wound

Complications

A haemorrhoidectomy may cause the usual complications like pain, bleeding, infection of the surgical wound or blood clots. More serious complications may include the following:

• Incomplete haemorrhoidectomy
• Difficulty passing urine
• Anal stenosis
• Developing skin tags
• Developing an anal fissure
• Incontinence

Recovery

same day. The wound takes several weeks to heal completely. You should drink plenty of water during convalescence. Talk to your doctor about an exercise regime that can help you recover faster.

The hemorrhoids can occasionally redevelop.

Suffering from Piles? Consult Best Piles Clinic in HSR Layout, Bangalore.

To Know more visit https://drmanastripathy.com/ or call us at +91 8150000200

Also, Listen to our Podcast to learn more about Hemorrhoids and their treatment options:

What are Hemorrhoids?

Everything You Need to Know About Hemorrhoids

Advanced Laser Piles Treatment in HSR Layout

The abdominal muscles can develop weak spots, through which adjoining tissue can protrude resulting in a bulge, which is called a hernia. An inguinal hernia occurs at the inguinal canal, a narrow passage in the abdominal wall, through which blood is fed to the testicles. A hernia can be painful, especially while bending over, coughing or heavy lifting. If left untreated, it could lead to serious complications. The bulge can put pressure on nearby structures like the intestines and cause their blood supply to be cut off. This condition is called a strangulated hernia.

TREATMENT

The most common and popular treatment for a hernia is surgery. An operation is the quickest way to repair a hernia, particularly if the bulge is growing bigger. Timely surgery also preempts any serious complications that can accompany inguinal hernia. Sometimes, the hernia can be controlled with a padded belt called a truss. However, a hernia will not go away without surgery.

The surgery is performed under general anesthesia. The surgeon makes small incisions on the abdomen. A set of surgical instruments, along with a tiny telescope will be inserted into the abdomen where the hernia has occurred. The interior preperitoneal area, where the hernia occurs is shown on a laparoscope, which guides the surgeon. The procedure entails smoothening the abdominal wall where the bulge occurs. Then a synthetic mesh is used to cover and strengthen the weak spot in the abdomen.

The operation generally takes about thirty minutes. If the hernia is on both sides of the abdomen, the operation can last under an hour.

COMPLICATIONS

General side effects that may afflict the patient are the same as those after other hernia-fixing surgeries. More serious complications may include:

• Development of a lump at the surgery site
• Difficulty passing urine
• Injuries to nearby abdominal structures
• Temporary weakness in the leg
• Discomfort or pain in the groin
• Injuries to nerves
• Interruption in blood supply to the testicles in men

RECOVERY

Patients are generally discharged the same day. Convalescence may take between two to four weeks depending on the extent of surgery, after which you can resume normal activities. Check with the surgeon before the operation about how much you can exercise. For the first few days, increasing how much you walk is recommended. Occasionally the hernia can recur.

For more info visit www.drmanastripathy.com

The abdominal muscles can develop weak spots, through which adjoining tissue can protrude resulting in a bulge, which is called a hernia. An inguinal hernia occurs at the inguinal canal, a narrow passage in the abdominal wall, through which blood is fed to the testicles. A hernia can be painful, especially while bending over, coughing or heavy lifting. If left untreated, it could lead to serious complications. The bulge can put pressure on nearby structures like the intestines and cause their blood supply to be cut off. This condition is called a strangulated hernia

Treatment

The most common and popular treatment for a hernia is surgery.  An operation is the quickest way to repair a hernia, particularly if the bulge is growing bigger. Timely surgery also preempts any serious complications that can accompany an inguinal hernia. Sometimes, the hernia can be controlled with a padded belt called a truss. However, a hernia will not go away without surgery.

The surgery is performed under general anesthesia. The surgeon makes small incisions on the abdomen. A set of surgical instruments, along with a tiny telescope will be inserted into the abdomen where the hernia has occurred. The interior preperitoneal area, where the hernia occurs is shown on a laparoscope, which guides the surgeon. The procedure entails the smoothening of the abdominal wall where the bulge occurs. Then a synthetic mesh is used to cover and strengthen the weak spot in the abdomen. The operation generally takes about one hour. If the hernia is on both sides of the abdomen, the operation can last to under an hour.

Complications

Surgical intervention to treat inguinal hernia can lead to minor complications like pain, bleeding, infection at the surgical site, scarring, and formation of blood clots. Sometimes the side effects can be more severe like:

• Damage to internal organs
• Development of a hernia near one of the cuts
• Injury to the bowel
• Surgical emphysema
• Development of a lump at the site of the original hernia
• Discomfort or pain in the groin
• Discomfort or pain in the testicle on the side of the operation, in men
• Difficulty passing urine in men
• Interference with blood supply to the testicle in men

Recovery

Patients are allowed to go home the same day or the next. Convalescence may take a week before the patient can resume normal activities. You cannot lift heavy weights for two to four weeks after the operation.

Regular exercise can help you return to pre-surgery activities with ease. But you should consult the surgeon or your general practitioner for advice. Inguinal hernia occasionally returns.

To know more visit: www.drmanastripathy.com

What are Gallstones?

What causes Cholelithiasis and who is at risk of developing Gallstones?

Though the root causes of gallstones are not known yet, the factors that could lead to its development are:

• Some particular inherited red blood cells disorders, e.g. sickle cell disease, spherocytosis
• Obesity
• Hereditary gallstone issues
• Certain medicines, such as contraceptives
• During Pregnancy
• Prolonged parenteral (intravenous) nutrition
• Abdominal surgery
• Crohn’s disease

Other minor risk factors include sudden weight loss, kidney failure, fasting for long time periods.

Similarly, some certain genetic conditions like progressive familial intrahepatic cholestasis type 3, can also predispose to gallstone formation in children.

How common are Gallstones?

Gallstones are very common in adults. In the United States alone, approximately 25 million adults get affected by it per year. Cholelithiasis, though considered a rare phenomenon in children, there has been a significant rise in the diagnosis of gallstones. A few studies have indicated that about 2%of children have the probability of having gallstones. The wide usage of ultrasound technique and the growing obesity problem are some of the likely reasons for this increase.

What are the Signs and Symptoms of Gallstones?

At times, even after the gallstones are formed, they do not show any symptoms. Pain in the right upper or upper-middle part of the abdomen is a commonly observed symptom. The pain is intensely felt after having meals. Other symptoms are nausea and vomiting. For children, it becomes difficult to realize and pinpoint their pain. The pain can be sensed as: 

• In the right upper or middle upper part of the abdomen
• Feel like spreading to the back or centering between the shoulder blades
• Sharp cramps
• Reappearing and going away after a while
• Experiencing after having a meal
• The pain getting worse if ate fat-filled or greasy food items

When a gallstone blocks the duct, children can suffer or feel some of these symptoms:

• Nausea
• Frequent Vomiting
• Fever sweats or chills
• Jaundice

How are Gallstones Diagnosed?

Gallstones are mainly diagnosed depending on the history of its location, frequency, severity and how long the pain persists. It can be suspected with may be suspected unusual triggers of high-fat meals. A physical exam can help in diagnosing gallstones. However, to confirm the diagnosis an ultrasound is used.

There are other imaging methods too used to search for the gallstones or blocked ducts. It can also help check the functioning of the gallbladder.

Most surgeons use the laparoscopic surgery which is sometimes referred to as minimally invasive surgery to remove the gallbladder.