Non-Invasive Approaches for Treating Fistulas
When dealing with a small fistula, medical professionals have the option to employ minimally-invasive treatments. One such approach involves attempting to seal the fistula using a unique adhesive called fibrin glue. Another alternative is to plug the fistula, typically using collagen. Moreover, in cases where the fistula is infected, doctors will often drain the accumulated fluid by using a catheter, aiming to effectively manage the infection.
Surgical Options for Fistula Treatment
In cases where the fistula is large or fails to respond to less invasive procedures, surgical intervention becomes necessary. Surgeons employ different techniques based on the specific circumstances of the fistula.
Laparoscopic methods are preferred whenever possible. This minimally invasive approach involves the insertion of small incisions through which cameras and specialized tools are used. However, certain fistulas may require transabdominal surgery, which entails larger incisions in the abdominal wall.
In situations where a fistula develops in a diseased part of the bowel, doctors may opt for bowel resection. This procedure involves removing the affected section of the bowel, including the fistula. Following such surgery, individuals may require a temporary pouch to divert stool away from the resectioned area, allowing it adequate time to heal properly.