Fistula is a pathological channel that connects the hollow organ and the external environment or two hollow organs. The most common fistula appears after surgery. The treatment of this education is quite long and painful. That is why the patient must strictly adhere to the doctor’s prescriptions.
The concept of fistula and their types
Fistula is a hollow neoplasm, which in appearance resembles a deep wound. In accordance with the features of the development of tumors, they can be:
- Spongy. In this case, fusion of fistula and skin, as well as muscle tissue, is observed. Fistula removal is performed using the surgical method.
- Complete. It is characterized by the presence of two outputs, which provides the possibility of the most effective fight against the inflammatory process.
- Tubular It is a fully formed channel from which there is a constant excretion of feces, pus and mucus.
- Incomplete. The neoplasm is characterized by one exit, the location of which is the abdominal cavity. With this type of fistula, the pathogenic microflora multiplies, and inflammation becomes more acute.
- Granulating With this type of fistula, granulation tissue is formed. With this pathological process, edema and hyperemia are often observed.
Only a doctor knows that such a fistula after surgery. After carrying out the appropriate diagnosis, the specialist will be able to determine the type of education that will positively affect the treatment process.
Postoperative fistulae can develop for a variety of reasons. Most often, pathology is observed against the background of an infectious process that penetrates the human body through stitches and wounds. After the surgery, the human body may reject the thread, which is explained by the intolerance of its components. Against this background, a postoperative fistula appears. The development of tumors can be diagnosed in the presence of other provoking factors, which include:
- High immune reactivity;
- Elderly age;
- Chronic specific infection;
- Hospital infection;
- Oncological diseases.
If the human body receives vitamins and minerals in insufficient quantities, this leads to the formation of fistulas. Postoperative fistula, the treatment of which is very long, appears in case of metabolic disorders – diabetes, metabolic syndrome, obesity.
Before treating a fistula after surgery, it is necessary to determine the cause of its occurrence. Pathology therapy should be directed to its elimination.
Fistulas after surgery are characterized by the presence of certain signs. Initially, a seal appears on the skin around the size. With his palpation there is pain. Some patients are diagnosed with the appearance of pronounced hillocks, which is the release of infiltration. Redness of the skin may be observed at the site of scar infection.
The pathological process is often accompanied by a sharp increase in body temperature. This is due to the occurrence of the inflammatory process in the human body. To bring the temperature to a normal rate is impossible. Fistulas are accompanied by a purulent process. With the late treatment of pathology, the size of the abscess increases significantly. Patients are observed tightening fistulous openings for a certain period. After that, the development of inflammation is observed.
Fistulas are characterized by the presence of certain signs. When they appear, patients are advised to urgently consult doctors. Early treatment of the disease will eliminate the possibility of side effects.
Features of therapy
Treatment of fistula after surgery in most cases requires the use of surgical intervention. Initially, the surgical field is treated with special antiseptic solutions, which will eliminate the possibility of infection. Surgery requires local therapy. In order for the surgeon to quickly find the course of the fistula, it is the introduction of the coloring solution.
The surgeon removes the fistula with a scalpel. All other actions of specialists are aimed at stopping bleeding. After that, it is recommended to wash the wound with a solution with an antiseptic effect. Postoperative sutures are applied to the wound. In this case, it is recommended to use active drainage.
Treatment of postoperative fistula requires the use of not only surgery, but also appropriate medications. In most cases, patients are prescribed antibiotics and anti-inflammatory drugs:
In order to speed up the healing process of wounds, the use of Troxevazine or Methyluracil ointment is recommended. Also recommended the use of drugs that are of vegetable origin – aloe, sea buckthorn oil and
How long the fistula heals after surgery depends directly on the characteristics of the rehabilitation period. Patients are recommended daily hygiene procedures in the area of the operation. The patient is recommended to daily decontaminate the seams with special preparations. The patient’s diet should be rich in fiber, which will eliminate the possibility of constipation. In the postoperative time, the elimination of heavy physical exertion is recommended. From a long work in a sitting position must be abandoned for three months.
As a fistula appears after surgery, only a doctor knows this. That is why in the event of a neoplasm it is necessary to seek help from a doctor who will determine the type of education and prescribe rational therapy.