Anorectal conditions are health issues that affect the anus or rectum, often caused by unusual tissue growth in these areas. Talking about these conditions might feel awkward, but not addressing them can lead to discomfort and pain.

Anal Fistula:

Anal Fistula is a small tunnel connecting the end of the bowel to the skin near the anus. It can lead to bleeding and pain during bowel movements, often developing after an abscess near the anus is drained.

What Causes These Conditions?

Fissures, or tears in the skin of the anus, are usually caused by passing hard stools. Other reasons might include medical examinations, childbirth in women, or insertion of foreign objects.

How Are These Conditions Diagnosed?

Doctors usually diagnose these conditions through a physical check-up. Sometimes, they might use a special scope to look inside the anus (proctoscopy) or other tests like anal endosonography.

Treatment Options:

Surgery is often needed to treat these conditions. There are different types of surgeries, including:

• Minimally Invasive Fistula Treatment (MAFT): A less invasive surgery using small tools and cameras.

• Fistulotomy/Fistulectomy: This involves opening up the fistula to heal it from the inside.

What is MAFT?

MAFT, also known as VAAFT (Video Assisted Anal Fistula Treatment), is a new treatment for complex fistulas. It involves using a camera to see inside the fistula and closing it from the inside without large cuts or damage to the surrounding muscles.

Benefits of MAFT:

• No large cuts in the buttock or anal area

• The anal muscles are not harmed

• Less testing needed before surgery

• Quick recovery and return to daily activities

• This can be done in one day without staying in the hospital

• Higher chance of finding and closing the internal fistula opening

• The fistula tract is destroyed from the inside, leaving other tissues unharmed

Pre-Surgery Instructions for Anorectal Procedures:

• Fast as Directed: Avoid eating or drinking for at least 8-12 hours before your surgery, as per your surgeon's instructions.

• Medication Management: Discuss your current medications with your surgeon; some may need to be paused or adjusted before the procedure.

• Bowel Preparation: You may be required to take a laxative or an enema the night before the surgery to clear your bowels.

• Hygiene: Take a shower using antibacterial soap on the morning of your surgery to reduce the risk of infection.

• Comfortable Clothing: Wear loose, comfortable clothing on the day of your surgery for ease of changing and comfort post-procedure.

• Arrange Transportation: Ensure you have someone to drive you home after the surgery, as you will not be able to drive yourself.

• Valuables: Leave jewelry and other valuables at home to avoid loss.

• Pre-Operative Tests: Complete any pre-operative tests or consultations as your healthcare provider advises.

Post-Surgery Instructions for Anorectal Procedures:

• Pain Management: Take prescribed pain medication as directed to manage discomfort. Over-the-counter pain relievers may also be recommended.

• Wound Care: Follow specific instructions for caring for the surgical site, which may include cleaning the area gently and applying topical medications.

• Sitz Baths: Warm sitz baths may be recommended several times a day to aid in healing and relieve discomfort.

• Dietary Adjustments: Consume a high-fiber diet and stay hydrated to prevent constipation and ensure smooth bowel movements.

• Activity Restrictions: Avoid heavy lifting, strenuous exercise, and prolonged sitting to reduce pressure on the surgical site and promote healing.

• Follow-Up Appointments: Attend all scheduled post-operative appointments to ensure proper healing and address any concerns.

• Monitor for Complications: Be vigilant for signs of infection or complications, such as excessive bleeding, severe pain, fever, or unusual discharge, and report them to your doctor immediately.

• Rest and Recovery: Allow ample time for rest and avoid rushing your recovery to ensure optimal healing.

• Stool Softeners: Your doctor may prescribe stool softeners to prevent straining during bowel movements, which can affect the surgical site.

Why Choose Dr. Aloy for Endoscopic Anorectal Surgery? 

Choosing Dr. Aloy for Endoscopic Anorectal Surgery offers numerous advantages due to his extensive experience and specialized expertise in the field. With over two decades of practice, Dr. Aloy J Mukherjee stands out as a leading surgeon, particularly noted for his proficiency in minimally invasive surgical techniques. His academic credentials, including an MS in General Surgery and additional qualifications from prestigious institutions, underscore his commitment to excellence. His successful track record and positive patient outcomes further reinforce the trust and confidence in his surgical capabilities.

Frequently Asked Questions:

1. What is Endoscopic Anorectal Surgery?

Endoscopic Anorectal Surgery is a minimally invasive procedure used to diagnose and treat conditions affecting the anus and rectum, such as fistulas, fissures, and hemorrhoids, utilizing specialized endoscopic equipment for precise treatment with minimal discomfort and faster recovery.

2. What are the benefits of choosing Endoscopic Anorectal Surgery?

The benefits include less post-operative pain, reduced risk of complications, shorter hospital stays, quicker return to daily activities, minimal scarring, and high precision in treating the affected area due to enhanced visualization during the procedure.

3. How should I prepare for Endoscopic Anorectal Surgery?

Preparation typically involves fasting for a certain period before the surgery, following specific bowel preparation instructions to clear the rectum, discontinuing certain medications if advised by your doctor, and arranging for transportation post-surgery due to the effects of anesthesia.

4. What can I expect during the recovery period after Endoscopic Anorectal Surgery?

Recovery may involve managing minor pain with prescribed medications, adhering to dietary recommendations to ease bowel movements, avoiding strenuous activities for a few weeks, and following specific wound care instructions to promote healing.

5. How long does it take to fully recover from Endoscopic Anorectal Surgery?

The recovery time can vary depending on the individual and the extent of the surgery, but most patients can resume normal activities within a week or two, with complete healing often occurring within a few weeks to a few months.