Fistulotomy
The gold-standard surgical treatment for low simple anal fistulas - the fistula tract is laid open to allow complete healing from inside out. Offered by Dr. Samhitha Reddy, one of the best anal fistula surgeons in Hyderabad, at Lux Hospitals.
What is Fistulotomy?
Fistulotomy is the most effective surgical treatment for low simple anal fistulas. The procedure involves surgically laying open the entire fistula tract - allowing it to heal from inside out by secondary intention. Because the tract is opened along its full length, it granulates and heals completely without the ability to reform. Dr. Samhitha Reddy, one of the best fistula surgeons in Hyderabad, performs fistulotomy at Lux Hospitals, Hyderabad using pre-operative endoanal ultrasound to ensure only the minimum sphincter muscle is divided - protecting continence while achieving complete fistula eradication. Fistulotomy is the cornerstone of anal fistula surgery in Hyderabad for intersphincteric and low trans-sphincteric tracts.
How the Procedure Works
Pre-operative Endoanal Ultrasound
Endoanal ultrasound precisely maps the fistula tract, its Park's classification, and quantifies sphincter involvement before surgery is planned.
Anaesthesia & Positioning
Spinal or general anaesthesia. Patient in lithotomy. A fistula probe identifies the tract.
Tract Laying Open
The fistula tract is opened along its entire length using electrocautery or scalpel - creating a flat, open wound to heal by secondary intention.
Curettage
The floor of the opened tract is curetted to remove granulation tissue and epithelium that could allow tract reformation.
Wound Care & Follow-up
Daily dressings and sitz baths. Healing by secondary intention over 4–6 weeks. Regular follow-up confirms complete closure.
Outcomes
Who Needs This Treatment?
- →Highest cure rate for appropriately selected low fistulas (>90%)
- →Simple, well-established procedure - completed in under 30 minutes
- →Day-care procedure - no extended hospital stay
- →Eliminates recurrence when the entire tract is adequately laid open
- →Most economical definitive surgical option for anal fistula treatment in Hyderabad
- →Covered by most major health insurance plans at Lux Hospitals, Hyderabad
Fistulotomy, when performed for the right type of fistula with careful pre-operative sphincter mapping, remains one of surgery's most satisfying procedures - a simple lay-open that provides complete, permanent cure.
— - Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon
Common Questions
Frequently Asked
Not sure which treatment is right for you?
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