Had a endorectal advancement flap done, with a added fistula plug in the front.Plug fell out, but the flap procedure has helped heal where I had the fistula. I am MRSA negative, and have been after was placed on Doxycycline, and then Clindomyacin. What helped was going to a Colo-rectal Surgeon, and not a General Surgeon. I had three fistula plugs place and all three failed.
Still 2 years later having times when wound from fistula repair fills with blood and when showering bursts opened and bleeds. Especially after climbing stairs a lot, or riding a lawn mower. What should I do to help this?
Was told if fistula went back further I would have had to have a colostomy. MRSA originated from a abscess that was opened wrong way, but groin swab shows negative. Only positive in nares. Fistula encompassed my sphincter muscles and due to intricate manor of where the fistula is the Specialist decided on a silk seton. I have had 10 outpatient procedures done. First one by a gynecologist that told my family, before the procedure started, she hopes everything goes ok. After the procedure I had most of the right side of my gown soaked in a brown substance for most of recovery.
Hi!
If the fistula is not healing then yes, a swab test should be done to assess the cause. A culture can be set up and if positive, a sensitivity analysis done to see which antibiotics are effective. If you have MRSA, then possibly there is MRSA here as well.
Also, other types of surgeries can be tried. There are many types of surgeries involved in the treatment. The treatment depends on the depth of involvement of levator ani muscle and anal sphincter. The treatment can vary from a cutting seton to a setaon stitch. It can involve fistulotomy, colostomy, Endorectal advancement flap, LIFT (ligation of inter sphincteric fistula tract) procedure, and VAAFT Technique using a fistuloscope. Usually the hospital stay veries from a day to 3-4 days depending on the procedure done. You need to discuss this with your surgeon. Take care!
The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.