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Anesthesia Type Spinal Anesthesia
Duration of Operation 30 min - 45 min
Hospitalization Duration 2 - 3 Hours
Return to Work 1 Day
Although haemorrhoids are very common, patients hesitate to go to a doctor (general surgery) because it is an anal region disease. However, patients should know that; rectal is the last link of digestion. Just as the first stage of the digestive canal is applied to the mouth without hesitation, it is necessary to get rid of traditional prejudices and to consult a doctor (general surgery specialist) immediately for problems in the anal area. There are stages of haemorrhoids. If it is not late, it is possible to treat it with simpler methods without the need for surgical procedures. However, more importantly, every bleeding in the anal area may not be a sign of benign diseases or haemorrhoids. The doctor (general surgeon) should be consulted and the necessary tests should be made to find out that there is no colon cancer in this area. It is recommended to perform a scan of the large intestine or the last part of the large intestine when these symptoms occur, especially in patients over a certain age. If these sub-factors are not examined and treated on time, these more severe perianal fistulas in the future are examined in four separate groups. This is a current classification system made among fistulas. These fistula types are: extra-sphincteric, trans-sphincteric, supra-sphincteric and inter-sphincteric.
It is a very rare type of fistula. 1% of rectal fistulas form extra-sphincteric fistulas. It is formed between the perineum, that is, the muscle that surrounds the pelvis from the anal skin and the intestine called the rectum.
It is a more common type of fistula than an extra-sphincteric fistula. Trans-sphincteric fistulas constitute 25% of rectal fistulas. In other words, this type of fistula constitutes 1/4 of the perianal fistulas. Trans-sphincteric fistula is a type of fistula that extends from the intestine to the anus.
Supra-sphincteric fistula constitutes 5% of rectal fistulas. For this reason, it is considered a rare type of fistula.
The most common type of fistula among rectal fistulas is an inter-sphincteric fistula. This type of fistula constitutes 70% of rectal fistulas. In short, fistulas formed between the internal and external rectal muscle are called inter-sphincteric fistulas.
There are some conditions that cause the formation of rectal fistulas. These areas mentioned in the headings below.
Obstruction of Rectal Glands
Obstruction of the anus glands does not directly affect the fistula formation. However, it can be said that it causes indirectly. Rectal fistulas are conditions that usually occur after abscess formation. One of the conditions that cause abscess formation in the anus is the blockage of the secretory glands in the anus. A fistula may occur after an abscess that occurs as a result of obstruction of the anus glands. When such situations occur, the occlusion of the glands is shown as a cause.
Inflammation of the Glands
Inflammation of the glands in the anus will usually have the same effect as obstruction of the glands. As in the case of obstruction, when the glands in the anus are inflamed, it causes abscess formation. This abscess causes the formation of a breech fistula.
Large Intestine Inflammation
Inflammation in the large intestines also causes abscess formation. This naturally triggers or creates fistula formation.
Excessive diarrhoea can be triggered by different reasons. Excessive diarrhoea also causes an abscess formation. As we mentioned earlier, abscess formation also triggers the formation of breech fistulas. For this reason, excessive diarrhoea is also considered as one of the factors that cause fistula formation.
Perianal Abscess Formation
The obstruction or inflammation of the secretory glands in the anus, which we have mentioned above, inflammation of the large intestine and excessive diarrhoea, triggers the formation of perianal abscess and also affects the formation of a fistula. Most of the breech fistulas occur after perianal abscesses.
Fistulas that occur after abscess can be noticed by the appearance of some symptoms in the body. These symptoms are briefly mentioned under the following headings.
Pain Around The Anus
There is no pain around the anus or anus in fistula formations. More bleeding and discharge are seen.
Severe Anal Pain
Perianal abscesses usually cause severe pain, fever and swelling in the anus region. However, patients who develop fistula in the anus do not have pain and swelling. Generally, yellow inflammatory discharge and bleeding occur.
Itching around the anus
40-50% of rectal fistulas occur due to perianal abscesses. For this reason, when fistula occurs, even if the pus and bleeding caused by perianal abscesses disappear, it may leave effects like itching around the anus.
Currents first occur due to abscesses. However, if perianal abscesses heal and the discharge from the anus continues for 2 to 3 months, this condition is usually diagnosed as a perianal fistula.
Chills and Chills Caused by High Fever
It is possible to experience symptoms such as fever and chills and chills due to perianal abscesses. However, when the abscess turns into the fistula, the person will not have symptoms such as fever, chills and chills. Fever in the fistula is not an observed symptom.