Yes, for ano-rectal surgeries spinal or general anaesthesia is required; rarely small fistulae and external piles are operated under local anaesthesia. Pilo- nidal sinus and ganglion can be commonly operated under local infiltration anaesthesia.
It depends on type of anaesthesia and surgery. For all surgeries performed under spinal or general anaesthesia hospitalization is required. Patients undergoing surgeries performed under local anaesthesia are discharged on the same day.
For piles and anal fissure surgery a hospital stay of 3-5 days is required; for primary threading in anal fistula the patient is discharged within 48 hours after surgery. In anal fistula patient needs to attend hospital for changing of ksharasutra on regular basis at an interval of 3 or 7 days. For changing of thread hospitalization is not required. This changing of thread continues for several weeks depending on the length of the fistula tract and condition of the patient. Study shows the fistula tract is cut at the rate of 0.5cm/week. So if one has a tract of 5cm, 10+ weeks are required to cut the tract.
During the initial days, this procedure is a bit painful which can be managed by local fomentation, application of medicines and / or local anaesthesia. Gradually, the pain sensation decreases during successive changings.
No such guarantee. Recurrence rate has been reported in studies; but it is negligible in comparison to conventional fistulectomy. For further information
Website By Digital Web Avenue