a fistula surgery question

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ivy6
Elite Member


Date Joined Sep 2005
Total Posts : 10404
   Posted 8/8/2009 4:52 PM (GMT -7)   
Help! Are fistulotomy surgery and advancement flap surgery the same thing, or different?

Not sure if I should make a separate category for each in the fistulas thread, or put them both together.

Thanks heaps,

Ivy (getting a bit boggled from all this Googling).
Co-Moderator Crohn's Forum.

Medications for Crohn's ~~ Diet and Nutritional Therapy for Crohn's ~~ Dealing with Abscesses and Fistulae ~~


FallColors
Veteran Member


Date Joined May 2007
Total Posts : 1220
   Posted 8/9/2009 4:44 AM (GMT -7)   

Hi Ivy6,

A fistulectomy is where they cut open the fistula tract -- they lay the whole track open and let it heal from the inside out.  They can do this for "low" fistulae, meaning without a lot of sphincter involvement.  Cutting too much sphincter muscle with level you incontinent.

The advancement flap procedure is done on "high" fistulae because it doesn't cut sphincter muscle.  It does done in the rectum around the fistula hole. They cut a horseshoe flap of tissue, fold it over the fistula hole, and sew it closed.  This seals the fistula form the rectum.  I think they rough up the fistula too and it heals/closes once it isn't getting drainage from the rectum. 

Maybe some else knows differently?


Diagnosed with Crohn's in early 2007.  Several peri-rectal abscesses and two fistulae with setons.  Allergic to Remicade and Humira.  Currently on 6MP, and vitamins D and B-12.


ivy6
Elite Member


Date Joined Sep 2005
Total Posts : 10404
   Posted 8/9/2009 5:11 AM (GMT -7)   
That's great, f/c. Thanks heaps.

Looks like this thread will end up in the "fistulas" thread too :-P

I'll fix it another day - am *finally* heading to bed after sorting out a protracted and nasty cat fight...

Enjoy your Sunday.

I.
Co-Moderator Crohn's Forum.

Medications for Crohn's ~~ Diet and Nutritional Therapy for Crohn's ~~ Dealing with Abscesses and Fistulae ~~


frogeleita
Regular Member


Date Joined Jul 2009
Total Posts : 342
   Posted 8/9/2009 1:57 PM (GMT -7)   
i think the term..sort of covers everything..their are many different methods now for fistulas..depending on where they are located..like cutting open the track or a fibrin plug
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