fistulotomy surgery questions

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rkilcher25
Regular Member


Date Joined Jul 2006
Total Posts : 144
   Posted 11/21/2007 6:55 PM (GMT -7)   
I am having a fistulotomy surgery next week for an anal fistula.  how much pain will i be in afterwards and for how long?  how about the packing (gauze) what will that be like and drainage?  i am soooo nervous.
26 years old
dx with crohn's at 23
Fistula seton surgery 2006
Advancment Rectal Flap surgery 2007
Fisula seton surgery 2007
 
 


Malibu05
Regular Member


Date Joined Sep 2007
Total Posts : 98
   Posted 11/21/2007 7:01 PM (GMT -7)   
I didn't have fistulotomy but I had an abscess drained that left an open wound and I had to use to packing gauze. It was very very VERY painful when the removed it the first time. It would be safe to say that it was the worst pain I've ever experienced. My suggestion would be that before anyone touches the gauze to take some pain medication first. I don't know if it will be the same or not but I would still try to take pain meds before hand. Good luck!

chroniemomx2
Veteran Member


Date Joined Apr 2005
Total Posts : 2346
   Posted 11/21/2007 8:43 PM (GMT -7)   
I have never had one either, but I have had a drained abscess packed, and a csection wound packed. Mine weren't painful when the gauze was removed. Just make sure whoever is doing it, goes slowly. Good luck. Let us know how it goes.

LadyB
Regular Member


Date Joined May 2007
Total Posts : 28
   Posted 11/21/2007 9:24 PM (GMT -7)   
What exactly is a fistulotomy? I had a surgery on my perianal fistula but it was unplanned and I don't know if that is what I had. The surgeon thought it was a cyst that had abcessed. Anyway, I had a lovely gaping wound afterwards that I had to pack. The surgeon told me he cut along the fistula tunnel so it could heal from the inside out. The actual wound packing and all that was not painful at all. It was maybe a bit uncomfortable but thats it. I had to visit a wound care doctor for months to help my surgical wound heal (because the surgeon didn't know it was a fistula - I think he messed it up) and that was painful.

I am happy for you that your surgery is planned! The surgery did heal the fistula and I haven't had a recurrence since and its been two years! Good Luck!
Crohn's since age 18, Dx in August 2006 at the age of 23.  Crohn's discovered after botched fistula surgery.  Doctor tells me all but the middle 4-5 ft of small intestine is affected with a stricture.  The good news is I have been in remission since Sept. 2006 with 100mg of Imuran daily. 


caras
Regular Member


Date Joined Apr 2006
Total Posts : 59
   Posted 11/21/2007 9:26 PM (GMT -7)   
i recently had a perianal abscess drained with a seton put in on my right side, then 10 days later had another one drained on my left side that needed to be packed.
its been about 5 weeks and im still having a nurse come to my house every day to re-pack the wound.
its annoying as hell. hard to try to get back to my regular life.
the first time they pulled out the packing in the hospital it was brutally painful.
but it got easier every day. just that first time was definitely worth mentioning.
i would take my painkillers about an hour before the nurse would come every day,
now i dont have to as much, because the paid has finally subsided.
and i have a very high tolerance to pain killers so i was really dosing up.
good luck my thoughts are with you. i know how terrible all this can be.
major pain in the butt.

rkilcher25
Regular Member


Date Joined Jul 2006
Total Posts : 144
   Posted 11/21/2007 9:56 PM (GMT -7)   
from my understanding the surgery is where they core out the muscle/skin that's inbetween the fistula and the butt hole, so yeah you will have a gaping hole that needs to be packed.  I'm really nervous.  i've had two seton surgeries and the flap surgery and this one sound's so much worse than those two.  i figured the packing and repacking would be the worse since you are pushing down on the wound.  Actually i was wondering, how do you poop, do you have to take out the gauze and then repack it after every bowel movement???  the doc said first week will suck, second so-so and 3rd week i should be relatively back to normal, does this sound about right??? 
26 years old
dx with crohn's at 23
Fistula seton surgery 2006
Advancment Rectal Flap surgery 2007
Fisula seton surgery 2007
 
 


Malibu05
Regular Member


Date Joined Sep 2007
Total Posts : 98
   Posted 11/21/2007 10:31 PM (GMT -7)   
A lot of times when I had to use the bathroom the packing would fall out on its own and I would have to wait for the nurse to come and pack it again. If it didn't fall out, I would pull it out because usually it was dirty. I forgot to mention that it also for me got easier and easier with every packing change. I just didn't know what to expect the first time so I wasn't on any pain meds and they yanked that stuff out and I about came out of the hospital bed with pain! It was awful. But every time after that I took meds and it got easier to deal with.

bckley07
Regular Member


Date Joined Nov 2007
Total Posts : 41
   Posted 11/21/2007 10:53 PM (GMT -7)   
well i had a procedure done back in sept. but im not exactly sure what it was called. it was for an anal fistula but after reading the other responses it sounds nothing like what others had done. my dr. didnt want to cut me open for fear that i wouldnt heal very fast he ended up putting  stitches in so it could drain by itself. i have been going back to the doctor about once every 2 weeks to have the stitches tightened little by little. it sounds like its about healed all the way through. but the surgery itself was very short and i came home the same day. i do remember that sitting was very uncomfortable.... i did a lot of laying around for a couple days (and on my bad days that doesnt change) my biggest complaint about this was that like i said this was back in sept and now its almost dec. and i still have metal staples and the stitches hangin around down there which makes its difficult to use the restroom ( and i dont need anything else making it more difficult) also i still have drainage which as you can probably imagine is not a pleasant thing. i do believe the dr. gave me some pain meds for the first couple of days i was home. i cant recall what it was but i didnt need them for long. anyways this might help? Good Luck!

caras
Regular Member


Date Joined Apr 2006
Total Posts : 59
   Posted 11/22/2007 1:26 AM (GMT -7)   
going to the bathroom wasnt easy. i actually didnt go for the entire first week. probably a combo of having general anethetic twice in two weeks, and the pain killers. (even though i was taking stool softeners)
anyways. after that the packing would always come out when i went, and then the nurse would just re-pack it the next day.
i also took a ton of sitz baths to keep it all clean. and tons of painkillers.
but its been hard and annoying. in a lot of ways this has been worse than my resection.
slowly but surely. my wound started out at 4.5cm deep and is now down to 1cm which is good but it seems lke the last little bit just doesnt want to heal up!

Jen77
Veteran Member


Date Joined Mar 2006
Total Posts : 2204
   Posted 11/22/2007 3:57 PM (GMT -7)   
I had this surgery (fistulotomy) a few years back. Basically I had a gapping hole down there, they laid open the fistula track, and let it heal from the inside out. I was in moderate pain for probably 3-4 days. Going to the bathroom hurt the worst, obviously. I also took stool softeners, but would find myself crying when going to the bathroom! After that I was good, driving, and moving around without pain. I had to soak it several times a day, which wasn't fun.
 
The only bad thing for me, was that it took a WHOLE year to heal up. Which I've read is common in Crohn's patients.


~Jennifer
 
Diagnosed with mild Crohn's Disease 2/06 after sever GI bleed. Has been suffering since 1998. History of rectal fistula and gallbladder removal. Currently taking Asacol and Questran.


jacteo
New Member


Date Joined Feb 2013
Total Posts : 1
   Posted 2/17/2013 9:08 AM (GMT -7)   
I had mine surgery done in dec 2012, well, mine was a low fistula, i was put on GA, and in less than 30mins, im awake...bleeding carry on for a few days, not much pain felt.
3 months pass, im more or less recover, just that the meat there is still quite thin, whenever i try push hard, tend to tear a bit and bleed...but its getting better...
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