Fistula treatment

Fistula treatment


  • 1 fistula
  • 2 types of fistula
  • 3 fistula treatment 3.1 non-surgical treatment 3.2 Surgical treatment
  • 3.1 non-surgical treatment
  • 3.2 Surgical treatment
  • Video 4 How is the process of fistula?
  • 5 References


Fistula (in English: Fistula) is the link is normal in the form of a channel consisting of two or pots bloody or between one body cavities and skin, and starts sometimes be fistulas in the form of abscess (in English: Abscess) any pocket filled with pus inside the body, packaged body fluids continuously such as urine and feces, which in turn prevents the healing process abscess, and eventually find his way to the skin abscess or organ or cavity physical problem known as fistula. [1] [2] Symptoms vary depending on the fistula site; It is possible that the symptoms include: pain, heat, itching, nausea, vomiting, diarrhea, and a general feeling of weakness, in addition to the exit of pus, or secretions smell unpleasant, leaking of urine or feces, or gases into the vagina. [2] [3]

It is worth mentioning that the fistula may be at some since birth, and may result from other causes, such as; Complications of surgical operations, Aladthabat and childbirth, childbirth incurable (in English: Obstructed Labor). This may result because of medical conditions such as Crohn's disease (in English: Chrons Disease), ulcerative colitis (in English: Ulcerative Colitis), in addition to that people who are undergoing radiation treatment at risk of multiple types of fistula. [3] [4] There are known industrial designer fistulas Kalnaasur between the artery and vein to produce the so-called arterial venous fistula (in English: Arteriovenous fistula) for those necessary dialysis (in English: renal dialysis). [1]

Types of fistula

Classified into the following types of fistula by the number of openings and linked to internal organs or leaving the skin: [1] [5]

  • Fistula closed: (English: blind fistula) is open from only one party and closed from the other party, it is possible to turn into a complete fistula if it is not treated.
  • Complete fistula: (English: complete fistula) has an internal slot and an external slot.
  • Incomplete fistula: (English: incomplete fistula) channels in an open skin from the third party, but it is closed from the inside, and do not connect with any internal structure.
  • Alhdhua fistula: (English: horseshoe fistula) complex type is U-shaped in English, and up between the two holes on both sides of the outer belts anus.
  • Anal fistula rectal: (English: Anorectal Fistula), which connects the anal canal and the skin surrounding the anus, it is worth mentioning that the anal fistula affects men by more women.
  • Intestinal fistula intestinal: (English: Enteroenteral Fistula) and connects the two parts of the intestine.
  • Intestinal cutaneous fistula: (English: Enterocutaneous) and connects the small intestine and skin.
  • Cutaneous fistula colonic: (English: Colocutaneous) which connects the colon and skin.
  • Tracheal fistula esophageal: (English: Tracheoesophageal fistulas) and connects the trachea (in English: Trachea) and esophagus (in English: esophagus), and is often due to a birth defect from birth to allow air to enter the digestive system and the entry of food into the lungs.
  • VVF: (English: Vesicovaginal fistula) connects between the vagina and the bladder, causing leaking urine from the vagina, in addition to frequent infections in the bladder and the vagina.
  • Vaginal fistula intestinal: (English: enterovaginal fistula) connects between the vagina and the large intestine and leads to leaking feces from the vagina.
  • Vaginal fistula Urethral: (English: Urethrovaginal fistula) connects between the urethra and vagina.
  • Arterial venous fistula: (English: Arteriovenous fistulas) is formed between the artery containing the blood loaded with oxygen to all parts of the body and blood vein loaded the yield of the lungs, which leads to blood pressure change and flow abnormally.

Fistula treatment

The competent physician determines the most appropriate treatment plan for the building and its location on the fistula size and condition, [3] and treatments are divided into two main sections as follows:

Non-surgical treatment

It includes the following options:

  • Catheter: (English: catheterization) are used in the case of relatively small fistula to treat the infection through the discharge of pus located in the fistula as is the case in anal fistula or rectal. [3] [5]
  • Drug treatment: Antibiotics are used to treat infections associated with fistula, can be used as a drug infliximab (in English: Infliximab) to reduce inflammation and help heal fistula rectal and vaginal (in English: Rectovaginal fistula) in women with Crohn's disease. [3] [6]
  • Intestinal food: (English: Enteral diet), a liquid containing food on important nutrients that are taken by mouth or given through a feeding tube, and instead given solid food; So as to minimize the amount of feces outside of the anus, and thus to help heal the fistula and close it. This treatment can be used in the case of vaginal fistula intestinal, skin and intestinal fistula, and intestinal fistula vescico (in English: Enterovesicular fistulas). [2]
  • Adhesive fibrin: (English: Fibrin glue) is a medical adhesive material injected into the fistula to close the channel tightly, then is stitched slot fistula is a way easy, safe and painless, but the results are weak in the long term. [3] [7]
  • Laser therapy: (English: Laser therapy) uses a laser to get rid of arterial venous fistula congenital (in English: Congenital arteriovenous fistulas) with relative ease if the small size. [1]
  • Pressure directed ultrasonic: (English: Ultrasound-guided compression) is used in the case of arterial venous fistula located in the area if the leg was visible on the ultrasound device; Depends on where the ultrasound pressure on the fistula, and the closure of the blood flow of blood vessels damaged. [8]
  • Sealer: (English: Plug) These are often made up of plug membranous tissue collagen and fill out fistula. [3]

Surgical treatment

The treatment of fistula surgically either through an incision of the abdominal wall, either through a small incision work and the use of a camera and small-sized tools to deal with fistula using laparoscopic (surgery technique in English: Laparoscopic surgery). [3]

Surgical treatment method includes the following steps: [6] [9]

  • Careful examination to determine the fistula path through tissue: using pigments shaded (in English: Contrast dyes) and special imaging.
  • Discharge and discharge pus accumulated in fistula: and to ensure the integrity of the tissue surrounding the fistula, and free of infection or inflammation.
  • Surgical removal of fistula: which is called the surgery a few fistula (in English: Fistulotomy) used in 85-95% of cases, where an incision over the entire length of the fistula, and then emptied of contents, paved and kept in its new location until heal and recovery.
  • Stitch Seaton Surgical: (English: Seton stitch) This produces a string suture passing through the fistula to work knot linking abroad, leaving a path for drainage and discharge.
  • Action flap soles of the rectum: (English: Endorectal flap) used in the case of fistula Rectal to stitch an alternate Seaton, including the withdrawal of intact tissue over the inner part of the fistula to prevent feces and other substances from causing infections of the channel again.
  • Adhesive fibrin: that was mentioned previously in the non-surgical treatments, or stopper made of biological material (in English: Bioprosthetic plug), and be cone-shaped made from the tissues of the human body, used to close the internal opening of the fistula are installed tufted, it is worth mentioning that they do not close textured fistula to be able to discharge the process, and then grow new tissue around the stopper to heal fistula and handling.

Video How is the process of fistula?

It affects many fistula and cause inconvenience to them if they were treated as soon as possible. What are the methods of treatment? And when the resort doctor for surgical intervention? :


  • ^ أ ب ت ث Sally Robertson (11-2-2015), "What is a Fistula?"،, Retrieved 18-9-2017. Edited.
  • ^ أ ب ت Amber J. Tresca (7-7-2017), "Fistula Types, Diagnosis, Treatment, and Prognosis"،, Retrieved 18-9-2017. Edited.
  • ^ A b c w t h y x D "WHAT IS A FISTULA?",, Retrieved 18-9-2017. Edited.
  • ↑ "Fistulas",,18-10-2016، Retrieved 18-9-2017. Edited.
  • ^ أ ب ت "Fistula",, Retrieved 18-9-2017. Edited.
  • ^ أ ب Mayo Clinic Staff (17-10-2015), "Rectovaginal fistula"،, Retrieved 18-9-2017. Edited.
  • ^ أ ب Rob Hicks (13-9-2017), "Anal fistula"،, Retrieved 18-9-2017. Edited.
  • ↑ Mayo Clinic Staff (7-4-2015), "Arteriovenous fistula"،, Retrieved 18-9-2017. Edited.
  • ^ أ ب Ananya Mandal (17-11-2013), "Fistula Treatment"،, Retrieved 18-9-2017. Edited.


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