The anal fistulas are the abnormal tunnels from the anus or the rectum that is usually to the skin which is near the anus and can be occasionally to the other organ as well. In order to treat them, there are various new treatments for fistula.
The new treatments for fistulas cause pain and discharge. They are often associated with abscesses. When it is infected, it is going to produce systematic symptoms. These fistulas are more frequently going to occur in men when compared to women.
They are also associated with the people who are suffering from tuberculosis and Crohn’s disease. They are also going to occur in people who are suffering from cancer, diverticulitis, or any kind of anal or rectal injury.
Well, traditionally there is a surgical procedure that is there to repair the fistula. Although it is the conventional method of treating the anal fistula, there is still a chance for the complication exists. This is the surgery where the procedure is going to involve cutting the apportion of the sphincter muscle in order to unroof the tunnel. And thus by going through the external and the internal opening and then covering the tunnel into the groove that is going to heal from the outward direction.
New treatment for fistula:
Incontinence that would result from the loss of the muscles of the sphincter. Well, it is a complication that can occur in fistula surgery. This is why there is a need for the development of an alternative new treatment for fistula.
There is a new minimally invasive repair of the anal fistula by using the anal fistula plug. This is the repair that is a very unique alternative to traditional fistula surgery. The anal fistula plug is a conical device that is made for tissue healing. This is the plug that is placed by drawing it through the teeth fistula tract and then placing it in its place.
With the anal fistula plug, the anal fistula tract is repaired by cutting the sphincter muscle. This is how the risk of incontinence is measured. The anal fistula plug gives you a new yet very simple treatment.
In the case when the Anal fistula plug is implanted then the tissue cells of the host and the blood vessels are going to make colonies in the graft.
The plug will also provide a scaffold or the matrix for the patients’ connective tissue growth. Well, in the early clinical results, this treatment has shown improvement over the conventional treatments.
- There is a high percentage of success and a greater efficacy shown from the early use.
- This is a minimally invasive procedure.
- The sphincter-saving procedure is going to minimize the risk of incontinence.
- The recurrence rate might be high and that does not mean using the other option or repeating the treatment.
Modified LIFT procedure:
Well, LIFT is an effective procedure that is a low-cost technique that was introduced with a success rate of more than 90 percent. There are no continuous failures. The LIFT technique is mainly the procedure that will cut the fistula between the sphincter’s scrapes, the infected tissue of the fistula wall, and tighten the fistula tract with the ligation, which can effectively avoid the repeated infection that is caused by the fecal particles.
Although there are some limitations to the LIFT procedure, it has gained popularity worldwide. At times, the LIFT procedure can prove to be unstable and there are some previous studies that have shown that the success rate is only 50 percent.
Now there are unique and modified LIFT procedures that have improved techniques to carry out the procedure.
FIPS
Even though the fistulotomy is the most preferred technique for the simple anal fistula treatment, there is a high incontinence rate and deformity. These are the two main drawbacks of traditional fistulotomy. The sphincter sparing method has been widely recognized in recent decades, but the high recurrence rate remains an important challenge for colorectal surgeons.
When FIPS is compared with the anal fistulotomy, then there is less risk in the FIPS procedure. Also compared with the deformity and fecal incontinence. Also compared with the majority of the sphincter preservations techniques, the FIPS decreases the recurrence rate after the surgery.
In conclusion:
Well, as there has been increasing attention that has been paid to the anorectal diseases and with the continuous advance in the science and technology, thee are a large number of therapies that have emerged to address the issue of complex anal fistula.
Well, there has been no simple technique that completely heals the complex anal fistulas. The effectiveness of the new treatment for fistula must be considered comprehensive during the treatment.
Also in the future, there are a high number of clinical trials that can prove to be the best treatment for the best strategy for the anal fistula treatment
