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Why Fistula occur Again and Again? Anal fistula is a common problem. Surgery is the main treatment The treatment of anal fistulae has seen many advancements from fistulotomy to LIFT, VAFFT and LASER. Still, the failure and recurrence rates are very high. Recurrence rate rages from 5% and 50%. The factors increasing the risk of recurrence can be categorized into Category 1): Related to the fistula anatomy a) Suprsphicteric b) Extrsphicteric c) Horse-shoe shaped’ fistula Category 2: Patients comorbidities a) Crohn’s disease b) Diabetes c) Smoking d) Immunosuppressed state like HIV Category 3: Preoperative factors (lack of proper preoperative assessment) a) failure to recognize the internal opening preoperatively (20-fold increase b) complex with multiple tracts and internal openings Category 4: Intraoperative deficiencies a) improper procedure selection b) inexperience of the surgeon c) failure to get rid of the entire tract along with its ramifications Category 5: lack of proper postoperative care a) Early care (Till six weeks): Once operated, the anal canal takes at least six weeks to heal properly. During this period, a thorough medical examination should be performed at least once weekly to rule out potential complications b) Late care (after six weeks): A complete proctological examination should be carried out once every four weeks after the first six weeks of the procedure. This is to help detect early recurrence. To reduce recurrence, we need to 1) Understand basic anatomy of the fistula 2) Get corrected comorbidities before surgery 3) Do comprehensive preoperative assessment 4) To choose right procedure and expert fistula surgeon 5) Compliance to good postoperative care For More information about Fistula: Read: https://www.kaizengastrocare.com/fist... -------------------------------- Dr. Samrat Jankar Founder Kaizen Gastro Care Consultant Gastroenterologist, Colorectal & GI Surgeon -------------------------------- Watch More: ► कॉम्प्लेक्स फिस्टुला (भगंदर) क्या है?: • कॉम्प्लेक्स फिस्टुला (भगंदर) क्या है? (W... ► FISTULA IN ANO (भगंदर): • फिश्टूला (भगंदर) म्हणजे काय? What is Fistu... -------------------------------- About GUT FIT CLUB Channel: -------------------------------- GUT FIT CLUB is an initiative by Kaizen Gastro Care that has been launched to promote Gastric Health awareness among the general public. We are creating awareness and making small lifestyle changes that can prevent gastric diseases & help people to live a healthy and prosperous life. 'GUT FIT CLUB' is an effort to bring these small Gastric changes. So, in order to move towards a fitter India and fulfill the vision of this movement, Kaizen Gastro Care has taken an initiative to raise awareness about Gut health & educate people on "how to prevent GUT diseases, if at all having how to manage them. So, stay updated, subscribe, like, and share our channel. for the healthy GUT of every Indian and for healthy India” Thanks! You can follow us on other platforms: - Kaizen Gastro Care ► Facebook: / kaizengastrocare ► Twitter: / care_kaizen ► Instagram: / kaizengastrocare ► LinkedIn: / kaizengastrocare ► Website: https://www.kaizengastrocare.com/ -------------------------------- Contact Us: -------------------------------- Call: +91 97 6363 5252 Visit: Kaizen Gastro Care, Shop no. 208 / 209, Oriana Crest building, Datta mandir road, Opposite Costa Rica society, Wakad, Pune - 411057 #kaizengastrocare #drsamratjankar #complexfistulainano #simplefistula #drsamratjankar #analfistulatreatment #perianalfistula #analfistularepair #abscess #surgery #LASER #lowlyingfistula #howtocure #colon #operation #pain #colorectal #colorectalsurgery #diagnosis #AnalFistulainHindi #fistulatreatmentiHindi #fistuladefinition