FISTULOTOMY

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my operations

How I did It?

Operative Technique

Simple Low Fistula

            Intersphincteric/Transsphincteric

Ø      Patient supine on lithotomy position/ prone on jackknife position under SAB/CLEA

Ø      Asepsis and antisepsis technique

Ø      Sterile drapes placed

Ø      Rectal speculum inserted

Ø      Internal opening located with use of probe inserted on the external opening following the fistulous tract carefully

Ø      Incision made with probe as guide starting on the external opening carried from skin through subcutaneous tissue, and division of overlying anoderm, and:

      IntersphinctericFistula - internal sphincter up to the internal orifice of the fistula

      Transsphincteric Fistula ­– external and internal sphincters up to the internal                                                          orifice of the fistula

Ø      Necrotic tissues removed by curettage

Ø      NSS wash

Ø      Hemostasis

Ø      OS packing