How to Prevent Recurrence of Anal Fistula I Tips To Prevent Recurrence of Fistula I Dr Nitish Jhawar

How to Prevent Recurrence of Fistula I 4 Factors to prevent recurrence of Anal Fistula I Best Treatment options for Fistula I Dr Nitish Jhawar, Navi Mumbai Please subscribe to the channel For more details About Dr. Nitish Jhawar, General, Laparoscopic, Colorectal surgeon and Surgical Gastroenterologist, Neoalta Clinic Vashi Navi Mumbai and Apollo Hospital Navi Mumbai visit our website https://www.laparoscopicsurgeonmumbai... TimeLine of video: 0:33 What is Anal Fistula – Anal fistula Kya Hai 1:16 Types of fistula 1:26 Treatment options for Fistula 1:45 Why Anal Fistula Recur Four important tips to prevent recurrence of Fistula 1:52 -factor 1 - control Patient Risk factors for fistula complications 2:24 – factor 2 - Timely and proper assessment of patient and treatment • DRE • Proctoscopy • Internal opening identification. Side branches pocket, high bilateral • Imaging MRI or endoanal ultrasound 4:47 – factor - 3. Surgeon dependent factors – During operation factors 4:58 – 3a - Fistula Treatment Options- Depends upon Type and Complexity of Fistula • Fisulotomy • Fistulectomy • Fistulectomy --with sphincter-saving procedures • Sphincter saving SLOFT and LIFT • LASER and fixation procedures 6:01 -- 3b - Identification of Internal opening and side branches of fistula 8:15—4th factor - Proper Post-operative Care of the Fistula Avoid Constipation Wound care and anal area hygiene - Irrigation and hot-sitz bath Follow up visits to the surgeon 10:28 - Summarizing all 4 factors to prevent recurrence of Anal Fistula