Performed by Dr. Ravi Chandra Reddy Obili at Dr Ravi Chandra Reddy
Fistula-in-Ano Surgery in Visakhapatnam is a specialized procedure to treat abnormal connections between the anal canal and surrounding skin. Dr Ravi Chandra Reddy Obili, an experienced Surgical Gastroenterologist, performs this surgery using advanced techniques to ensure complete healing while preserving sphincter function. Patients benefit from comprehensive care and personalized treatment plans at Dr Ravi Chandra Reddy's clinic.
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A step-by-step look at what happens during this procedure.
Detailed examination including MRI fistulography or endoanal ultrasound to map the fistula tract and identify its relation to sphincter muscles, ensuring appropriate surgical planning.
Spinal or general anesthesia is administered to ensure patient comfort throughout the procedure while allowing complete muscle relaxation for accurate surgical intervention.
The surgeon carefully probes and identifies the fistula tract, locating both internal and external openings, and assesses the involvement of sphincter muscles.
Based on fistula complexity, the surgeon performs fistulotomy, fistulectomy, seton placement, LIFT procedure, or advancement flap technique to remove the tract while preserving sphincter function.
The surgical site is cleaned, hemostasis achieved, and the wound is either left open to heal by secondary intention or partially closed depending on the technique used.
A structured, patient-first approach from first consultation to full recovery.
Dr Ravi Chandra Reddy conducts thorough clinical examination and advanced imaging to accurately classify the fistula type and plan the most appropriate surgical approach for each patient.
Based on fistula complexity and sphincter involvement, Dr Ravi Chandra Reddy selects from multiple surgical options including fistulotomy, LIFT, or sphincter-sparing procedures to optimize outcomes.
Using advanced surgical techniques and precise dissection, Dr Ravi Chandra Reddy ensures complete fistula tract removal while carefully preserving anal sphincter integrity to prevent incontinence.
Dr Ravi Chandra Reddy provides detailed wound care instructions, pain management protocols, and regular follow-up appointments to monitor healing and ensure complete recovery without recurrence.
What to expect at each stage of your recovery journey.
First 48 hours involve managing pain with medications, starting sitz baths for comfort, and initiating gentle mobilization. Patients receive dietary guidance to ensure soft stools and avoid straining.
Weeks 1-2 focus on regular wound care with daily sitz baths, maintaining hygiene, using stool softeners, and gradually increasing activity levels while avoiding heavy lifting or strenuous exercise.
Weeks 3-8 see progressive wound healing, return to normal diet and activities, and final wound closure. Regular follow-ups ensure proper healing without recurrence or complications.
Successful removal of the fistula tract with complete healing of the wound, eliminating chronic discharge, pain, and recurrent infections that previously affected quality of life.
Maintenance of normal anal continence through careful surgical technique that protects sphincter muscles, ensuring patients retain control over bowel movements without incontinence.
Low recurrence rates when appropriate surgical technique is selected and executed properly, with most patients experiencing permanent resolution of their fistula.
Elimination of embarrassing symptoms like discharge, odor, and discomfort allows patients to return to normal social, professional, and physical activities without restriction.
Let's clear up some of the most common myths about fistula-in-ano surgery.
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