A rectal fistulotomy is a surgical procedure to treat anal fistulas, which are connections that form between the rectum and the skin around the anus. During a rectal fistulotomy, the surgeon makes an incision along the length of the fistula tract, effectively cutting it open to allow for proper drainage and healing. The goal of this procedure is to repair the anal fistula and prevent this condition from reoccurring later down the line.

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When is This Procedure Necessary?

A rectal fistulotomy is considered medically necessary when conservative measures, such as antibiotics and drainage of abscesses, fail to effectively treat a complex anal fistula. This surgical intervention is typically recommended when the fistula recurs or becomes chronic, causing persistent pain, discharge, and/or recurrent infections.

What To Expect

Patients will be under general anesthesia to ensure their comfort throughout the procedure. During the procedure, the surgeon will open and drain the anal fistula. When the goal of the procedure has been achieved, the patient will be monitored as they are removed from the anesthesia. 

Immediately after surgery, patients may experience some discomfort, bleeding, and drainage. It is important to keep the surgical site clean and dry to prevent infection. Pain management protocols will be implemented to ensure comfort during the healing process. Patients are typically advised to avoid strenuous activities such as heavy lifting or prolonged sitting for a few weeks following the procedure. 

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