It will help to draw out pus from the fistula tract. How to treat an abscess with folk remedies. Bladder suppuration

Suture material used in surgery can be natural or synthetic. Ligature sutures may dissolve spontaneously some time after surgery, or they will require the help of a doctor to remove them.

If a dark cherry-colored serous fluid or purulent discharge is released at the site of the suture, this is a sign of a developed inflammatory process and the formation of a ligature fistula. The appearance of these symptoms is a sign of ligature rejection and a reason to resume treatment. A fistula that appears after surgery cannot be considered as a normal phenomenon; urgent treatment under the guidance of a surgeon is required.

Causes of ligature fistula:

Infection in the wound due to ignoring antiseptic requirements;

Allergic reaction to suture material.

There are factors that increase the likelihood of a postoperative fistula:

Immune reactivity (usually higher in young people);

Accession of a chronic infection;

Hospital infection, typical for surgical and therapeutic hospitals;

Getting into the wound staphylococcus and streptococcus, which is normally always found on human skin;

Localization and type of surgical intervention (cesarean section, surgery for paraproctitis, etc.);

Protein depletion in cancer;

Deficiency of vitamins and minerals;

Metabolic disorders (diabetes mellitus, obesity, metabolic disorders).

Features of ligature fistulas:

Occur in any part of the body;

Occur in all types of tissue of the human body (epidermis, muscle tissue, fascia);

Occur any time (week, month, year) after surgery;

They have a different development of the clinical picture (sutures can be rejected by the body with further healing of the wound, or they can become intensely inflamed with suppuration of the wound and not heal);

They occur regardless of the material of the ligature threads.

Symptoms of ligature fistula

The development of a postoperative fistula occurs according to the following scenario:

Within a few days after the operation, the wound area thickens, swells slightly, and becomes painful. The skin around it turns red and becomes hotter to the touch than other areas.

After 6-7 days, when pressure is applied, serous fluid and pus emerge from under the suture.

The fistula can close spontaneously and later open again.

Recovery is possible only after repeated surgery.

Complications arising from the appearance of a postoperative fistula

An abscess is a cavity filled with pus;

Cellulitis – inclusion of subcutaneous fat in the inflammatory process;

Eventration – loss of internal organs due to purulent melting of tissues;

Sepsis - the spread of purulent contents in the cavity of the chest, skull, and abdominal cavity;

Toxic-resorptive fever is pronounced hyperthermia as a reaction of the body.

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Diagnostics

The primary diagnosis of a ligature fistula is carried out in the dressing room during a visual examination of the wound by a surgeon. To clarify the location of the fistula, the presence or absence of complications (abscess, purulent leaks), an ultrasound scan of the surgical wound is performed.

If the fistula is located deep in the tissue and its diagnosis is difficult, fistulography is used. During the examination, a contrast agent is injected into the fistula tract and radiography is performed. As a result of such manipulation, the fistula tract will be clearly visible on the x-ray.

Treatment of ligature fistula

The vast majority of cases of ligature fistula can only be resolved through surgery. The longer a postoperative fistula exists, the more difficult it is to cure. Complex therapy using medications is used for treatment.

Groups of drugs used to treat fistula:

Local antiseptics - water-soluble ointments (Levosin, Levomekol, Trimistan), fine powders (Gentaxan, Tyrozur, Baneocin);

Antibacterial agents – Ampicillin, Norfloxacin, Ceftriaxone, Levofloxacin;

Enzymes for the destruction of dead tissue - Trypsin, Chymotrypsin.

Since the drugs retain their effect for several hours, they are injected into the fistula tract and distributed throughout the tissues surrounding the wound several times a day.

Fat-based ointments (Syntomycin ointment, Vishnevsky ointment) prevent the outflow of pus, so they are not used in the presence of extensive purulent discharge.

In addition to surgical and drug treatment, physiotherapy is used:

quartzization of the wound surface;

As a result of the use of UHF therapy, microcirculation of blood and lymph improves, which leads to a decrease in swelling and stops the spread of infection. Quartz treatment has a detrimental effect on pathogenic bacteria, promoting stable remission of the process, although not guaranteeing complete recovery.

The “gold standard” for treating a ligature fistula is an operation that eliminates the problem completely.

Progress of the operation to eliminate the ligature fistula:

Three-time treatment of the surgical field with an antiseptic in the form of an alcohol solution of iodine.

Injection of an anesthetic solution into the tissue around the surgical wound and under it (Lidocaine - 2% solution, Novocaine - 5% solution).

Injection of dye into the fistula tract in order to completely examine it (“green paint” and hydrogen peroxide).

Dissection of the fistula, removal of the ligature completely.

Removal of the cause of the fistula along with revision of the surrounding tissues.

Stop possible bleeding with an electrocoagulator or hydrogen peroxide 3%, since suturing a blood vessel can provoke the appearance of a new fistula.

Wash the wound with antiseptics (Dekasan, 70% alcohol, Chlorhexidine).

Closing the wound with sutures again with the installation of active drainage.

After the operation, the patient needs dressings and drainage rinsing. If the purulent discharge is not fixed, the drainage is removed.

Medicines used in the presence of complications (phlegmonous inflammation of the tissue, purulent leaks):

Non-steroidal anti-inflammatory drugs (NSAIDs) – nimesil, diclofenac, dikloberl;

Ointments for tissue regeneration - troxevasin and methyluracil ointment;

Herbal preparations with vitamin E (aloe, sea buckthorn oil).

Local revision of inflamed tissues with wide dissection of the fistula is a classic form of surgical treatment of postoperative fistula. Most minimally invasive techniques are ineffective in treating this complication.

Self-medication of a ligature scar will not bring recovery, because only surgery and subsequent debridement of the wound can save the patient from complications. Precious time will be lost when attempting self-treatment.

Prognosis and prevention

In cases where the body rejects surgical sutures made of any material, the prognosis for the operation is unfavorable. The situation is the same with self-medication - in this case it is very difficult to make a forecast.

It is impossible to take preventive measures for the appearance of a fistula, since even with strict adherence to antiseptics, infection can penetrate into the surgical wound and rejection of the suture material.

A fistula is a channel that connects a body cavity or hollow organs to the external environment or to each other. A fistula is also called a fistula. Most often it is represented by a narrow tubule, which is covered from the inside with epithelium or young connective tissue. Fistulas can form against the background of various pathological processes occurring in the body, as well.

A fistula on the gum of a tooth is a pathological formation represented by a small passage through the gum to the lesion. Most often, the fistula comes from the root of the diseased tooth. It drains serous or purulent exudate from the source of inflammation. You can see the fistula at the projection site of the tooth, in its upper part. It looks like a sore spot.

A perirectal fistula occurs as a consequence of metabolic disorders in the tissue around the rectal ampulla. Most often, these are the consequences of paraproctitis, or proctitis, the symptom of which is a fiber abscess. Its main manifestations are purulent or bloody discharge, pain, itching, and irritation of the epidermis of the anal area.

Ligature fistula after surgical childbirth is one of the common complications of this operation. It is dangerous because it is a source of infection and can cause toxic damage to a woman’s body. Every operation, and delivery by cesarean section is no exception, ends with a suture.

The information on the site is intended for informational purposes only and does not encourage self-treatment; consultation with a doctor is required!

Source: http://www.ayzdorov.ru/lechenie_svish_legatyrnii.php

Ligature fistula after surgery: treatment, surgery, urinary tract, photo

Almost every surgical intervention ends with the closure of the wound by placing surgical sutures on it, the only exceptions being operations performed on purulent wounds, in which, on the contrary, it is necessary to create conditions for the unhindered outflow of the purulent contents of the wound and reducing inflammation around the wound.

Surgical sutures are of both natural and synthetic origin. At the same time, they are divided into those that are absorbed in the body after some time and those that are not absorbed.

There are cases when a pronounced serous inflammatory process appears at the site of sutures, which subsequently begins to secrete pus. This behavior is a reliable sign that after the operation a fistula has formed and the process of its rejection has begun. It is worth noting that the appearance of a fistula is an abnormal reaction of the body, so additional treatment is required.

Causes of ligature fistula after surgery

Rejection by the body due to an allergy to the material from which the surgical thread is made.

Infection attached to the postoperative wound (failure to keep the wound clean, insufficient antisepsis during the operation).

In addition, the following factors may influence the appearance of a ligature fistula after surgery:

Metabolic disorders in the body (metabolic syndrome, obesity, diabetes).

Lack of minerals and vitamins.

The presence of cancer that depletes the body (protein depletion).

Localization and type of surgical intervention (ligature fistula after cesarean section or fistula after surgery for paraproctitis).

A hospital infection that occurs in all hospitals and is represented by saprophytic microorganisms (streptococcus, staphylococcus), which are normally present on the skin of a healthy person.

The presence of a specific chronic infection in the body (syphilis, tuberculosis).

High immune reactivity of the body (young people full of energy).

General condition and age of the patient.

It is worth noting that ligature fistulas:

They appear in any part of the body and in any layers of the surgical wound (internal organ, muscle, fascia, skin).

Do not depend on time (can occur in a year, month, week).

They occur regardless of the material from which the surgical thread is made.

They have various clinical manifestations (rejection of sutures with suppuration of the wound and without its healing, or rejection with subsequent healing).

In the first days, compaction, slight swelling, pain, redness, and an increase in local temperature appear in the projection of the wound.

After a week, a characteristic serous fluid begins to emerge from under the surgical sutures, and especially when pressing on them, which is subsequently replaced by pus.

At the same time, there is an increase in general temperature, which increases to subfebrile levels.

Sometimes the ligature fistula closes on its own, but after a while it opens again.

Complete cure is possible only after surgery, which is aimed at eliminating the causes of inflammation.

Complications arising from ligature fistula

An abscess is a cavity filled with pus.

Cellulitis is the spread of purulent formations under the skin through fatty tissue.

Eventration - due to purulent melting through the surgical wound, prolapse of internal organs may occur.

Sepsis is a breakthrough of purulent contents into the cavity of the skull, chest, and abdomen.

Toxic-resorbative fever is a severe form of the body’s temperature reaction to the presence of a purulent focus in it.

Diagnostics

A ligature fistula can be identified by visiting the dressing room during a clinical examination of the postoperative wound. Also, if you suspect the development of a ligature fistula, you should undergo an ultrasound examination of the wound for the presence of an abscess or purulent leaks.

If diagnosis is difficult due to the deep location of the ligature fistula, fistulography can be used. The essence of this method is to inject a contrast agent into the fistula tract, after which an X-ray examination is performed. The image will clearly show the location of the fistula tract.

Treatment

Before proceeding with the treatment of a ligature fistula, it should be noted that without surgical elimination of the source of inflammation and its consequences, a cure cannot occur, and the prolonged existence of a fistula will only aggravate the course of the disease. In the presence of a ligature fistula, complex treatment of the pathology is necessary with the mandatory use of:

the enzymes chymotrypsin and trypsin, which dissolve necrotic tissue;

antibiotics with a wide spectrum of action - ampicillin, levofloxacin, norfloxacin, ceftriaxone;

local antiseptics. Fine powders - gentaxan, baneocin, tyrosur. Water-soluble ointments - levosin, trimistin, levomekol.

Such enzymes and antiseptics are introduced directly into the fistula tract itself, as well as into the tissues surrounding it, given that the activity of such drugs and substances lasts no more than 4 hours, they are administered several times a day.

If there is abundant discharge of purulent masses from the fistula, it is strictly forbidden to use fatty ointments (syntomycin, Vishnevsky), since they clog the fistula canal and disrupt the process of outflow of pus.

In the inflammation phase, active use of physiotherapeutic procedures (UHF therapy, wound quartz treatment) is allowed. Such procedures help improve microcirculation of lymph and blood, reducing the spread of infection and swelling, and also have a detrimental effect on pathological microorganisms in the wound. The use of such measures makes it possible to achieve stable remission, but does not guarantee complete recovery.

If a fistula does not close, getting rid of it can only be guaranteed through surgery. This option for treating a ligature fistula is a generally accepted standard, because eliminating the cause of constant suppuration can only be achieved through surgical treatment of a postoperative wound with a complication that has arisen in it.

Sequence of actions during surgery to eliminate a ligature fistula

triple treatment of the surgical area with antiseptics (usually an alcohol solution of iodine);

introduction of anesthetic substances into the projection of the surgical wound and under the wound (0.5-5% novocaine solution, 2% lidocaine solution);

injection of dye (hydrogen peroxide and brilliant green) into the fistula tract to speed up the search;

dissection of the wound and complete removal of suture material;

detection of the cause of fistula formation and its removal together with surrounding tissues;

stopping bleeding using a 3% solution of hydrogen peroxide or an electrocoagulator; suturing the vessel is unacceptable, as this may cause a new fistula;

washing the wound with an antiseptic after stopping the bleeding. The most commonly used antiseptics are decasan, 70% alcohol, and chlorhexidine. After this, the wound is closed with a secondary suture, while organizing active drainage of the area.

The postoperative period involves periodic washing of the drainage and dressing. If there is no purulent discharge, the drainage system is removed. For multiple purulent leaks and phlegmon, the patient is prescribed:

ointments that stimulate the healing process (troxevasin, methyluracil);

anti-inflammatory drugs (NSAIDs - nimesil, diclofenac, dicloberl);

You can also simultaneously use phytotherapeutic preparations that are rich in vitamin E (aloe, sea buckthorn oil).

It is worth noting that the most effective for ligature fistula is the classical operation, which involves a wide dissection to perform an adequate revision. Any minimally invasive methods (using ultrasound) for such pathology are of low effectiveness.

It is important to remember that self-medication when a ligature fistula forms on a postoperative scar is unacceptable, since in the end, surgical intervention will still be required to treat the fistula, but this will waste time, which may be enough for the development of complications that are life-threatening.

Prevention after surgery and prognosis

Preventing the appearance of a ligature fistula is, in principle, impossible, because infection can penetrate the suture even under the most aseptic conditions, and it is generally impossible to prevent a rejection reaction.

In most cases, treatment of a ligature fistula with surgery is quite effective, but there are cases when the patient’s body constantly rejects any type of surgical sutures, even after a large number of repeated operations.

Any independent treatment of a ligature fistula has an unfavorable prognosis.

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Source: http://doctoroff.ru/ligaturnyy-svishch

Fistula after surgery: how to treat?

It often happens that an infection that progresses inside seeks a way out. This especially happens after surgery. Let's look at why this happens and how the resulting fistula is treated after surgery.

Fistula - what is it?

A fistula is a canal that connects body cavities or hollow organs to each other or to the external environment. It is lined with epithelium, and through it pus comes out, or the canal is lined with granulation tissue. If this does not happen, then a purulent fistula forms.

Such a process may be the result of some inflammatory process in the body or a consequence of surgery.

Types of fistulas

Depending on where the fistula is located, they are divided into:

The fistula can be complete or incomplete. A complete one has two holes and is treated faster, since it has a way out; an incomplete one, having one hole, further develops the inflammatory process, the number of bacteria increases.

The fistula can be labiform or tubular. Labial can only be treated with surgery.

If we consider the process of formation, then a granulating fistula is one that is not yet fully formed, while a tubular one is already lined with epithelium and is fully formed.

What are the reasons for the appearance of a fistula after surgery?

There are several reasons for this phenomenon:

The source of infection has not been completely eliminated.
In case of chronic prolonged inflammatory process.
Like the consequences of a blind gunshot wound. Small particles in the body, fragments, are perceived by the body as a foreign body, and the process of putrefaction begins.
The body’s denial of the threads used in surgical operations, as a result, the sutures fester.

The last point is the most common reason why a fistula appears after surgery. There are also several explanations for this:

Non-sterile suture material.
The body's reaction to a foreign body.

A fistula at the suture after surgery forms a compaction of the suture thread itself, fibrous tissue and collagen fibers.

How to recognize the appearance of a fistula after surgery?

Since this is primarily an inflammatory process, it is not difficult to recognize a fistula after surgery by its characteristic symptoms. They are:

Around the suture in the infected area there is compaction, redness, bumps, and here the body temperature is much higher.
As a rule, at the initial stage, not the entire area of the postoperative suture is inflamed.
Purulent discharge is observed. The less often, the greater their number.
The affected area becomes red, swollen and painful to the touch.
The suture site turns red.
The patient's general condition may worsen, body temperature rises to 38 degrees or higher.

If you experience such symptoms, you need to see a doctor immediately, otherwise the infectious process may spread to your organs or cause blood poisoning.

Diagnosis of fistula

Diagnosing a fistula after surgery is not difficult, since it can be seen visually if it is external. The doctor, after listening to the patient and examining him, pays attention first of all to:

Quantity and quality of discharge.
The size of the fistula, its color.
If the fistula is interorgan, then pay attention to the work of neighboring organs, especially if there are changes.

In order to find out the length and direction of the fistula canal, probing and radiography are used.

It is also necessary to do a series of tests that will confirm the type of fistula. The gastric one will show the presence of hydrochloric acid, and the uric one will show the presence of uric acid salts.

It happens that the suture may begin to fester a long time after the operation, so you need to find out the reason for this phenomenon.

If a fistula does appear after surgery, how to treat it?

Treatment of fistulas

For successful therapy, it is first necessary to:

Eliminate the source of the inflammatory process. If it is a thread, then it is removed.
The doctor must conduct an examination and do a fistulography. This will show whether the fistula has a connection with the internal organs.
Then a mandatory course of antibiotics or anti-inflammatory drugs is prescribed, depending on the depth of the inflammatory process.
To maintain the body, the doctor may prescribe a vitamin complex so that you have more strength to fight germs.
The wound is washed with a syringe with hydrogen peroxide or a furatsilin solution, as these agents are excellent disinfectants and promote rapid healing. The procedure is carried out daily, and if there is a lot of pus, then several times a day.

As a rule, the wound begins to heal. If this does not happen, then surgical intervention is possible, in which excess granulation is removed, and the areas can be cauterized.

The newest method is the treatment of fistula after surgery using ultrasound. This method is considered the most gentle, but it is not fast.

In severe cases, if several fistulas have formed, complete excision of the postoperative scar is indicated. The infected suture material is removed and a new suture is placed.

Postoperative intervention

If you still failed to cure the fistula and had to resort to surgical methods, then after the operation to remove the fistula, healing will take place within several weeks. The wound will heal faster if you provide it with complete rest and proper care.

After surgery for a rectal fistula, the doctor, as a rule, prescribes a diet so that the wound heals faster. After such operations, painkillers and antibiotics are required. The wound heals within a month; any physical activity is avoided.

The prognosis for treatment is usually good and the patient makes a full recovery.

Traditional methods of treatment

Of course, people always try to cure the disease at home. There are several recipes for treating fistulas with folk remedies. Here are some of them.

It is necessary to take vodka and olive oil in equal proportions. Wet a bandage with this mixture and apply to the inflamed area. Apply a cabbage leaf overnight. At least ten such procedures are required.
A mixture of aloe juice and mumiyo is good at drawing pus out of a wound. Mumiyo is diluted with water to the consistency of strong tea. The bandage should be left on for a long time.
It is recommended to wash wounds with a decoction of St. John's wort. You can apply a bandage on top and then wrap it with oilcloth. If the solution is hot, the effect will be greater.
There is a recipe for an ointment that treats not only fistulas, but also non-healing wounds. It is necessary to take equal quantities of flower honey, pine resin, medical tar, butter, aloe leaf pulp, mix the ingredients and heat in a water bath. Dilute with vodka to the desired consistency. Apply ointment around the fistula, then cover with plastic and apply a bandage or plaster. The fistula will heal literally before our eyes.
It is good to apply softened resin. It perfectly draws out pus and heals wounds.
To strengthen the patient's immunity, it is recommended to drink aloe juice with honey. The recipe is as follows: you need to take 12 leaves from a three-year-old plant and leave it in the refrigerator for 10 days. Then finely chop, place in a glass bowl and pour in liquid honey until completely covered. Stir every day and leave for 6 days. Strain the infusion and consume 1 teaspoon 3 times a day before meals. After such a drug, strength appears to fight the disease, and wounds will heal faster.

It is worth noting that if a fistula has formed after surgery, then treatment should be carried out under the supervision of doctors, and folk remedies are an addition to the main course.

Prevention of fistulas

In order to prevent fistulas from appearing after surgery, it is necessary:

First of all, observe the rules of asepsis during surgery.
All instruments and suture material must be sterile.
It is necessary to treat the wound before suturing it.
Vessel doping should occur with little tissue involvement.
Prescribe antibacterial drugs to prevent infections.
It is necessary to treat all infectious diseases, preventing the development of fistulas.

Source: http://www.syl.ru/article/206866/new_svisch-posle-operatsii-kak-lechit

Ligature fistula

Most serious operations end with the application of a ligature - a special thread that stitches together damaged tissue layer by layer. Typically, during surgery, the wound is thoroughly washed before suturing begins. This is done using resorcinol, chlorhexidine, iodopirone and other solutions. If the thread becomes contaminated with bacteria, or the wound has not been sufficiently treated, then suppuration of the ligature occurs and, as a result, a ligature fistula is formed.

A compaction called a granuloma forms around the thread that tightens the edges of the wound. The suture material itself, collagen fibers, macrophages and fibroblasts enter this compaction. The ligature itself is not encapsulated - it is not limited to the fibrous membrane. After such suppuration opens, a fistula is formed. Most often, one fistula is formed, but there may be several, depending on where the ligature remains.

Typically, such a complication makes itself felt quite quickly, even during the patient’s stay in a medical facility, therefore, during a routine examination by a doctor, the symptoms of a ligature fistula are identified and treatment occurs in a timely manner. The fistula opens after a few days - a break appears on the skin, through which purulent discharge oozes. Along with this discharge, part of the ligature may also come out. In some cases, the process fades, the fistula closes, but after a short time it opens again. The purulent process can last for several months if you do not consult a doctor in time and do not remove the cause of the suppuration.

Symptoms of ligature fistula

Usually, a fistula cannot be ignored - its external signs are clearly expressed.

Firstly, compaction and infiltration occurs around the wound channel. The bumps that appear become hot to the touch.
Secondly, near the scar left after the operation, you can clearly see inflammation - redness will develop as the ligature is applied.
Thirdly, the wound begins to quickly fester and purulent contents are separated from the outlet. The volume of discharge may be insignificant, but with a rapidly developing process, noticeable weeping may be observed.
Fourthly, such processes provoke swelling of nearby tissues and an increase in body temperature to significant levels (39 degrees and above).

Treatment of ligature fistula

Treatment of a ligature fistula must begin as soon as possible, since this is a serious complication that can lead to secondary infection, disability, and in severe, advanced cases, sepsis, which can lead to death for the patient. Only a doctor should prescribe treatment, and if suppuration occurs at home, the patient must be urgently sent to the hospital. Treatment of ligature fistula can be implemented in two ways - surgical and conservative. The most commonly used surgical treatment consists of removing the infected ligature, after which the patient must undergo a course of antibiotic therapy. The patient is given a small incision to allow the pus to drain. This will protect the patient from the development of phlegmon - purulent melting of tissue, as a result of which it will be much more difficult to cure the disease. If the ligature can be removed, the fistula is closed. Otherwise, a second attempt is made after a few days until the ligature is removed.

The wound surface requires special care - the affected area must be washed with special solutions to rid the wound of pus and avoid further development of the pathological process. Typically, hydrogen peroxide or furacillin is used for this purpose. If excess granulations are present, it is recommended to cauterize them. After primary care has been provided, if necessary, the ligature is applied again.

Conservative treatment is possible only when the process is just beginning and the amount of discharge is minimal. In this case, the patient removes dead tissue around the fistula and thoroughly washes out the pus. If possible, also cut off those threads whose ends come out. Next, the patient is given antibiotics and immunity boosters.

Prevention

To avoid the occurrence of a ligature fistula, it is necessary to properly treat the wound before suturing and use only sterile suture material. Also, when the first signs of this complication appear, it is necessary to provide timely assistance. Usually the outcome is favorable.

6 comments

Hello! Please tell me if it is possible for me to be cured at home. On July 8, I had a cesarean section (suprapubic) and sterilization. And after 3 months, a pimple appeared 10 cm above the seam, it is brewing and hurts, something like something is palpable inside rod. It is swollen, red, painful and hot. According to the symptoms, this is a fistula. I am breastfeeding the child, tell me what can be done to continue feeding the child. The fistula has been brewing for 3 months, there was a lull, but now it has started to hurt again and twitches inside the abdomen .Two months ago I showed it to the doctor, the fistula was smaller then, the doctor said that there was nothing wrong, but if it bothers me, then I have to pay 1,400 rubles to the cashier and he will remove it for me. I have a policy. I didn’t pay, and now it has become more painful than two months ago. 6 months have passed since the operation. Thank you. I will wait for advice from you.

I developed a fistula after surgery. How are you now?

Run to the hospital in the surgical (purulent) department... Otherwise there will be problems later, I went through all this horror, from a pimple after the operation, the indifference of the doctors at the clinic, they examined me in the hospital, took tests, made a diagnosis and sent me home.. After all this, through For 6 days everything burst and pus began to flow, and for a month after the operation in the hospital I have been going to bandages with an incision and a hole in my stomach, and the pus is still flowing.. Good luck to you.. I urgently need to see a doctor..

You can't get through on the phone! Tell me the nearest clinic in the Krasnodar region! I am from Novorossiysk, it will be very difficult for me to undergo treatment in Moscow. Thank you

At the beginning I had a small switch and it was like a sore. But gradually it grew. The switch gave me a fever. It all became red. SO I need to see a doctor right away

Hello! Fistulas began to appear 6 years after the operation, two threads were removed normally, now a third fistula has formed, they tried to pull the thread out twice, but to no avail, a lot of pus comes out, the doctor (professor) said that we still need to wait a month, I don’t know what to do

Rectal fistula (medical name - fistula) is a through tubular canal that connects the abdominal organs. The inside of the fistula is lined with epithelial cells or “young” connective fibers, formed as a result of the tightening and healing of various wounds and local tissue defects. About 70% of rectal fistulas form in the pararectal space and extend from the morganian crypts (pockets open to the movement of feces) to the skin. Anorectal fistulas go from the anus directly to the skin.

Treatment of rectal fistulas usually involves the use of surgical methods, as well as mechanical and chemical cleansing of the cavity. Very often, patients who have been diagnosed with purulent fistulas of the rectum are interested in whether the fistula can be cured without surgery. Experts agree that treating pathology with medications and folk methods is ineffective and can only be used as an auxiliary component to accelerate regenerative processes and quickly restore damaged tissue. There are also methods that allow excision of the fistula without surgical (invasive) intervention, so the patient must have full information about all available treatment methods.

Most proctological surgeons consider surgical treatment to be the most effective method of treating various fistulas, since during the operation the doctor can remove all damaged tissue, which significantly reduces the risk of relapse. Excision of fistulas using a scalpel is an invasive, highly traumatic operation that requires a long recovery period, so many patients are looking for ways to treat fistulas without surgery. They will be discussed below.

Laser treatment without surgery

This is one of the safest, most effective and least traumatic methods of treating fistula tracts, which has several advantages. Laser treatment, if indicated, can be carried out even in children and adolescents, although some doctors do not recommend using this technique in children under 10 years of age. The impact of laser beams does not cause discomfort or pain, and after the procedure there is no need for a rehabilitation period. After excision of the fistula with a laser, there are no scars or scars left on the skin, which is important if the operation is performed in the anorectal area.

Despite the large number of advantages, laser treatment also has significant disadvantages, including:

high cost (in different clinics the cost can vary from 20,000 to 45,000 rubles);
a fairly high probability of relapses and complications (about 11.2%);
side effects in the form of anal itching and burning at the site of excision of the fistula;
impossibility of use for purulent fistulas.

Note! Laser excision of fistula tracts is practiced in all private clinics in large cities, so there are usually no problems finding a laser proctologist surgeon.

Radio wave therapy

A more modern way to remove rectal fistulas is radio wave therapy. The method is suitable for the treatment of all types of fistulas, and its main advantage is the absence of the need to go to the hospital. The patient can go home 10-20 minutes after the procedure, since it does not require general anesthesia: the doctor performs all actions under local anesthesia (traditionally Lidocaine or Ultracaine is used).

Complete healing and tissue restoration after radio wave excision of a fistula occurs within 48 hours, so if the fistula was removed on Friday, the patient can go to work on Monday (the standard recovery period after surgery is at least 14 days). To determine the most suitable treatment method for himself, the patient can use the comparative characteristics given in the table below.

Table. Comparative characteristics of various methods of treatment of rectal fistulas.

Options	Laser treatment	Radio wave therapy	Surgical excision using a scalpel
Need for hospitalization	Usually not required (in some cases, the doctor may recommend observation for 1-2 days).	Not required. The patient can leave the clinic 20 minutes after the procedure.	The patient must be hospitalized in a hospital 2-3 days before the scheduled operation. After excision, the patient remains in the hospital for about 2-3 weeks.
Use of general anesthesia	Not required.	Not required.	Depending on the shape of the fistula and the extent of tissue damage, general anesthesia may be required.
Scars and scars after surgery	The probability is less than 5%.	The probability is less than 1%.	The probability is more than 92%.
Postoperative pain	None.	None.	They may bother you for several months, especially if the patient has a tendency to have stool disorders.
Healing and recovery period	From 2 to 5 days.	48 hours.	Three weeks.
Probability of relapses and complications	About 11.2%.	Practically absent.	Complications may occur.
Price	20-45 thousand rubles.	14,000 rubles.	It is carried out free of charge under the compulsory medical insurance policy.

Important! Despite all the advantages of non-invasive methods for treating perirectal fistulas (without a scalpel), the final decision on the possibility of using these methods should be made by the doctor, based on the degree and severity of the lesion and the general condition of the patient.

Treatment of rectal fistulas with traditional methods

When choosing the most appropriate treatment method, patients should understand that the only effective way to treat anorectal and pararectal fistulas is surgical therapy. Traditional methods can be used as an aid to relieve inflammation, draw out pus and ensure the outflow of exudate. Some components effectively eliminate pain and accelerate tissue healing, but complete recovery after using even the most effective recipes is impossible. This is due to the anatomical features of the structure of the fistula tracts, therefore the recipes given below are recommended to be used only as an auxiliary therapy after consultation with a doctor.

Honey ointment

Natural honey is one of the most effective anti-inflammatory remedies in traditional medicine. Honey and bee products (propolis, bee bread, royal jelly) contain more than 20 components that soothe the skin, relieve inflammation and stimulate tissue regeneration.

To prepare it, you need:

Mix 5 tablespoons of liquid honey with two tablespoons of melted butter (use only natural butter made from pasteurized cow cream);
add 15 drops of fir oil to the mixture;
heat in a water bath until boiling and remove from heat;
put in the refrigerator for 8 hours.

The resulting ointment must be lubricated with the affected area (you can use a tampon) 5-6 times a day. Treatment should be continued for 3-4 weeks.

Herbal ointment with lard

Recipes based on lard are used for fistulas accompanied by the formation of purulent exudate. A mixture of medicinal herbs disinfects the skin, prevents ascending infection of the rectum and soothes inflamed tissue, accelerating healing and tissue repair. To prepare the ointment you need:

in a deep bowl, mix 1 teaspoon each of oak bark, chamomile and water pepper herb;
add 300 ml of water and put on low heat for 20 minutes;
Cool the broth and strain, then add 4 tablespoons of melted lard to it;
mix everything and put it in the refrigerator to harden.

If the finished ointment is very liquid, you can add 1-2 tablespoons of butter, previously crushed using a fine grater, and then put the product back in the refrigerator. The ointment must be applied to a cotton swab and applied to the inflamed area. The tampon should be changed every 3-4 hours. A good therapeutic effect can be achieved after 2-3 weeks of daily use.

Lotions with aloe juice and plantain

Juice squeezed from aloe leaves has a pronounced bactericidal and anti-inflammatory effect. Such lotions draw pus from the wound, ensure its disinfection and reduce the intensity of pain. Plantain has a stimulating and regenerating effect, so herbalists advise adding this component to traditional aloe treatment.

To squeeze juice from aloe leaves, they must be thoroughly washed with cold water, crushed in your hands and cut along the side line, and then squeeze out the pulp. Plantain can be used as an infusion: pour 10 g of dried plantain root with a glass of boiling water and leave for 2 hours. All ingredients must be mixed and refrigerated for 1 hour.

A mixture of aloe juice and plantain infusion is used in the form of lotions: a cotton swab must be moistened generously with the product and applied to the end of the fistula tract. Lotions must be changed every 4 hours. Duration of use – 2 weeks.

Lotions with calendula

This is the easiest way to treat fistulas at home. All you need is an alcohol tincture of calendula (you can buy it at a pharmacy for 30-50 rubles) and cotton pads or swabs. The tampon must be moistened generously with the tincture and applied to the fistula for 20-30 minutes. You need to make 5-6 lotions per day. The duration of treatment depends on the tolerability of the components and the existing dynamics. The recommended course of therapy is 7-10 days.

Note! It is necessary to make lotions with alcohol tinctures after hygienic washing. At the beginning of treatment, the patient may feel a strong burning sensation caused by the effect of ethanol on the inflamed tissue. If such sensations do not go away within 30 minutes after removing the tampon, the skin should be rinsed generously with cool running water and lubricated with a soothing ointment, for example, Bepanthen.

Olive oil and vodka ointment

This ointment helps to quickly relieve inflammation and has a positive effect on the condition of damaged tissues, stimulating their regeneration. To ensure that the ointment has a thick consistency, you must purchase any fat base (glycerin, badger or goose fat, etc.) in advance. Mix 5 tablespoons of oil (it is better to use premium oil) with 50 ml of vodka and add 3 teaspoons of glycerin. If animal fat is used for cooking, the required thickness can be achieved using two tablespoons of fat.

All components should be thoroughly mixed and refrigerated for several hours. The ointment should be used up to 4-5 times a day; there is no need to wash it off after use. Significant improvements are usually observed already on the seventh day of treatment, but to achieve a stable result it is recommended to use the product for at least two weeks.

Rectal fistula is an unpleasant, painful pathology that can lead to serious complications if not treated on time. The only effective treatment for rectal fistulas today remains excision, which can be performed without surgery or the use of a scalpel. Home methods can be used as additional therapy, but they cannot replace full-fledged treatment.

Video - Excision of rectal fistula

A clean sheet is applied to the fistula area and tightly wrapped with plastic wrap on top. The sheet needs to be changed several times during the day. After a few days, all the pus will come out of the canal and the wound will heal.

It is recommended to mix the black bread crumb with plenty of salt. You should get a plastic mass, which is kneaded in the shape of a cake and applied to the sore spot. Secure the cake with film. Bread must be changed every second day. Soon the fistula will stop exuding pus and will heal.

Fistula can be treated with pine resin. The substance is applied to a clean cotton cloth and applied to the fistula. As in other cases, the bandage is secured with plastic film. It is not advisable to wrap the compress on top with a warm cloth or use heating pads, as heat can provoke an increase in the inflammatory process.

You can prepare an ointment based on pork fat. Melt 200 grams of fat over low heat. As soon as it becomes liquid, add 200 grams of finely chopped onion to the pan. The onion is fried until brown. Then the fat is poured into a jar and the container is tightly closed with a lid. After 8 hours, you can lubricate the fistula with the medicine.

Treatment of fistula by rinsing

Very often, fistulas form on the gums. It is advisable not to delay visiting the dentist in this case. Rinsing with decoctions and infusions of medicinal herbs will help cleanse the wound of pus and speed up recovery.

You can prepare a healing infusion from calendula or chamomile by brewing a teaspoon of the dried plant in a glass of boiling water. It is recommended to infuse the product for minutes.

St. John's wort herb is finely chopped and, poured with water, boiled for 10 minutes. The resulting decoction can be used to wash the fistula, and the steamed herbal pulp can be applied to the sore spot.

It should be remembered that in some diseases, fistula treatment must be carried out using anabiotic drugs. Therefore, if treatment of a fistula with traditional medicine does not produce a positive effect, you should contact a medical institution.

How to heal a fistula (ulcer) | How to treat an abscess with folk remedies

A fistula is a kind of abscess or abscess, which is characterized by a limited accumulation of pus in muscle tissue or in any organ of the body. Manifestation on the body, ulcers, boils, phlegmon, lymphadenitis, purulent pleurisy of the lungs, peritonitis and progressive thrombophlebitis. The causes of such abscesses are most often Pseudomonas aeruginosa. Treatment recommendations vary depending on the complexity of the disease. Typically, a combination of drug treatment is used, which is prescribed by a doctor, plus the use of herbal medicine.

How to heal a fistula with folk remedies?

If you decide to use only traditional medicine recipes, and not use medications prescribed by a doctor, you can try to cure a fistula with cakes made from comfrey root powder with the addition of honey. To heal a fistula, you will need a tablespoon of honey to prepare it, grind it with a tablespoon of comfrey powder, make a cake from the mixture and apply it to the purulent wound overnight. Place cellophane on top of the cake and cover with a woolen bandage. In the morning, rinse everything off with warm saline solution. The beauty of comfrey is that it promotes tissue renewal and stimulates the growth of healthy cells.

Another great recipe that will help treat abscesses and fistulas. Take 12 leaves of an aloe flower; the plant must be at least two years old. Rinse the leaves with boiled water. Chop them finely and put them in a liter jar, pour honey into it. Place in a dark place and let it steep. It is necessary to stir the mixture once a day. After 8 days, the infusion must be filtered several times and drunk a teaspoon before meals, three times a day.

Folk recipes for remedies for ulcers, abscesses and fistulas

Try this set of herbs: calendula officinalis (flowers) – 15 g; large plantain (leaf) – 15 g; chamomile (flowers) – 10 g; Salvia officinalis (herb) – 15 g; St. John's wort (herb) – 20 g; elecampane (root) – 15 g; horsetail (herb) – 10 g.

1 tbsp. l. with a small heap (5-8 g) of the collection, pour 1 glass (200 ml) of boiled water, cover with a lid and heat in a boiling water bath for 15 minutes (the herbal infusion should not boil), cool at room temperature for 45 minutes, filter, the remains squeeze out. The volume of the resulting broth is added with boiled water to the original volume. Take 1/3-1/2 cup of infusion or decoction 3 times a day before meals for pustular skin diseases.

For poultices, the following collection is used as an emollient for skin ulcers: chamomile (flowers) – 35 g; sweet clover (herb) – 35 g; Marshmallow officinalis (leaves) – 30 g. Brew with boiling water to a paste-like mass, wrap in a cloth and apply hot to the sore spot as an emollient. To prepare compresses and baths for abscesses use: common oak (bark) – 50 g; Calamus (rhizome) – 50 g. Use at the rate of 2 tbsp. l. per 200 ml of water in the form of an infusion for preparing compresses and baths for ulcers, abscesses and other skin diseases.

How to treat a fistula or abscess with ointment?

In order to heal fistulas, you can use ointments that are sold in pharmacies. This is the ointment of Vishnevsky, Ichthyol, the Balynin sisters and many others. To prepare such an ointment you will need 100 ml of church oil, which can be bought at any church shop, add 40 g of beeswax, then put the mixture on low heat. Add 1/3 teaspoon of granulated sugar. Heat until everything is dissolved, after which you can remove the mixture from the heat and leave to cool. Place the finished, cooled ointment in a dark glass jar and store it in the refrigerator. Shelf life is no more than a year. Apply a thin layer of ointment to the area of the abscess and apply a bandage on top that is not too tight, but secure it well. The bandage should be changed 2 or 3 times a day, depending on the abscess.

How to treat an open abscess or fistula?

If the fistula has access to the surface of the skin, then an effective treatment for the fistula is to “soak” it in hot and salty water. For this you will need 2 teaspoons of salt. Make a saline solution and soak the affected area in it. The first sensations you will feel immediately are the wound will begin to twitch, after which you will, on the contrary, feel significant relief. Thanks to this method, you can quickly clean an open abscess that for a long time could not break through and completely come out.

Another method of treatment is mumiyo and honey. You need to grind 3g mummy and mix it with a teaspoon of honey. Make a cake from the resulting mixture and apply it to the abscess. The abscess will burst and quickly clear, the wound will begin to heal. Such cakes need to be changed strictly once a day, while the wound is washed with hydrogen peroxide and dried with a gauze cloth.

A good practice for treating a fistula is to rinse it with furatsilin solution. To prevent a boil from forming in a new place in a couple of days, strengthen your immunity.

In the summer I was crossing the road along the tram tracks, I hurried, tripped and fell. The rails lie on a broken-down road, so when I fell, I felt that I had plowed through all the potholes and holes with my body. I got up with difficulty, it seemed to me that my brains had just been knocked out. I was actually going to the store, so I got up and moved on. But after just a few steps it began to hurt me to walk. I looked down and saw that my trousers were torn on my right knee, and there was blood all over my knee. I immediately went home. The right arm was skinned, the skin on the elbow was completely gone, and the blood was not flowing as much. When I came home and took off my pants, it turned out that in just five minutes my knee had swollen and became the size of three knees. She was all smeared with road dirt, dust and blood. I was even scared. Moreover, I always run into something with my feet. As a child, I climbed onto the roof of the stable, wanted to look at the horses, and fell. I didn’t hurt myself, but I ran into some kind of rod sticking out of the ground and pierced my knee. The same one, right. Then, too, blood gushed out.

I got into the bath, washed my knee and arm, which was already hurting unbearably, and then immediately poured hydrogen peroxide on it, clenching my teeth. The pain went all the way down to the point where I wanted to howl. I was even afraid that I might have crushed my kneecap, but under such a huge tumor it was not visible. I went into the room and lay down on the sofa, but as soon as I sat down, pain pierced my back. I jumped up, looked, and didn’t see anything. I returned to the bathroom and there in the mirror I saw that the skin from the back of my shoulder and along my shoulder blade had been torn off, in some places I could see bare flesh, well covered with dirt. I got into the shower again, washed it off as best I could, and discovered that I had run out of peroxide. But you can’t treat an abscess with alcohol; you’ll burn the tissue. While I called my mother, while she brought me peroxide on her way back from work, the infection had already taken root. Soon it began to fester in some places. Only on the shoulder and shoulder blade, everything was fine with the knee. Then an abscess appeared on my shoulder blade. My skin on my back isn’t so great after acne, I still don’t have enough abscesses! My mother and I began to treat these abscesses together as best we could.

I put on compresses for the treatment of abscesses at night from a decoction of willow bark to treat abscesses: I soaked a cloth, applied it and covered it with paper, then bandaged it. I applied a mixture of 20 g of mint, 20 g of caraway seeds and a tablespoon of rye flour, crushed verbena roots, and coltsfoot compresses.

I tried to treat abscesses from the outside and from the inside. I drank fresh yarrow juice with honey, ate foods that help treat abscesses - beans, broccoli. In a word, she did everything possible to heal the abscess. And the skin healed! After about three days the pain began to decrease, after five days the pus disappeared, the wounds stopped festering, and then began to heal, and new skin began to grow. By the way, I did the same thing on my knee, only less often. It took much longer to heal, even though there was no abscess on it - apparently, it was really a very severe bruise. I still have a scar on my entire knee, in addition to the one I got as a child. And there is also a scar on my elbow from that fall. My skin is so bad at regenerating. One consolation: now in beauty salons people get scars for money, this fashion is gradually spreading, like with tattoos. If it spreads completely, I will be very fashionable! We must find at least some positive in everything, even in the treatment of abscesses and fistulas!

Fistula after surgery: how to treat?

Fistula - what is it?

Such a process may be the result of some inflammatory process in the body or a consequence of surgery.

Types of fistulas

Depending on where the fistula is located, they are divided into:

The fistula can be labiform or tubular. Labial can only be treated with surgery.

If we consider the process of formation, then a granulating fistula is one that is not yet fully formed, while a tubular one is already lined with epithelium and is fully formed.

What are the reasons for the appearance of a fistula after surgery?

There are several reasons for this phenomenon:

The source of infection has not been completely eliminated.
In case of chronic prolonged inflammatory process.
Like the consequences of a blind gunshot wound. Small particles in the body, fragments, are perceived by the body as a foreign body, and the process of putrefaction begins.
The body’s denial of the threads used in surgical operations, as a result, the sutures fester.

The last point is the most common reason why a fistula appears after surgery. There are also several explanations for this:

Non-sterile suture material.
The body's reaction to a foreign body.

A fistula at the suture after surgery forms a compaction of the suture thread itself, fibrous tissue and collagen fibers.

How to recognize the appearance of a fistula after surgery?

Since this is primarily an inflammatory process, it is not difficult to recognize a fistula after surgery by its characteristic symptoms. They are:

Around the suture in the infected area there is compaction, redness, bumps, and here the body temperature is much higher.
As a rule, at the initial stage, not the entire area of the postoperative suture is inflamed.
Purulent discharge is observed. The less often, the greater their number.
The affected area becomes red, swollen and painful to the touch.
The suture site turns red.
The patient's general condition may worsen, body temperature rises to 38 degrees or higher.

If you experience such symptoms, you need to see a doctor immediately, otherwise the infectious process may spread to your organs or cause blood poisoning.

Diagnosis of fistula

Diagnosing a fistula after surgery is not difficult, since it can be seen visually if it is external. The doctor, after listening to the patient and examining him, pays attention first of all to:

Quantity and quality of discharge.
The size of the fistula, its color.
If the fistula is interorgan, then pay attention to the work of neighboring organs, especially if there are changes.

In order to find out the length and direction of the fistula canal, probing and radiography are used.

It happens that the suture may begin to fester a long time after the operation, so you need to find out the reason for this phenomenon.

If a fistula does appear after surgery, how to treat it?

Treatment of fistulas

For successful therapy, it is first necessary to:

Eliminate the source of the inflammatory process. If it is a thread, then it is removed.
The doctor must conduct an examination and do a fistulography. This will show whether the fistula has a connection with the internal organs.
Then a mandatory course of antibiotics or anti-inflammatory drugs is prescribed, depending on the depth of the inflammatory process.
To maintain the body, the doctor may prescribe a vitamin complex so that you have more strength to fight germs.
The wound is washed with a syringe with hydrogen peroxide or a furatsilin solution, as these agents are excellent disinfectants and promote rapid healing. The procedure is carried out daily, and if there is a lot of pus, then several times a day.

As a rule, the wound begins to heal. If this does not happen, then surgical intervention is possible, in which excess granulation is removed, and the areas can be cauterized.

The newest method is the treatment of fistula after surgery using ultrasound. This method is considered the most gentle, but it is not fast.

In severe cases, if several fistulas have formed, complete excision of the postoperative scar is indicated. The infected suture material is removed and a new suture is placed.

Postoperative intervention

The prognosis for treatment is usually good and the patient makes a full recovery.

Traditional methods of treatment

Of course, people always try to cure the disease at home. There are several recipes for treating fistulas with folk remedies. Here are some of them.

It is necessary to take vodka and olive oil in equal proportions. Wet a bandage with this mixture and apply to the inflamed area. Apply a cabbage leaf overnight. At least ten such procedures are required.
A mixture of aloe juice and mumiyo is good at drawing pus out of a wound. Mumiyo is diluted with water to the consistency of strong tea. The bandage should be left on for a long time.
It is recommended to wash wounds with a decoction of St. John's wort. You can apply a bandage on top and then wrap it with oilcloth. If the solution is hot, the effect will be greater.
There is a recipe for an ointment that treats not only fistulas, but also non-healing wounds. It is necessary to take equal quantities of flower honey, pine resin, medical tar, butter, aloe leaf pulp, mix the ingredients and heat in a water bath. Dilute with vodka to the desired consistency. Apply ointment around the fistula, then cover with plastic and apply a bandage or plaster. The fistula will heal literally before our eyes.
It is good to apply softened resin. It perfectly draws out pus and heals wounds.
To strengthen the patient's immunity, it is recommended to drink aloe juice with honey. The recipe is as follows: you need to take 12 leaves from a three-year-old plant and leave it in the refrigerator for 10 days. Then finely chop, place in a glass bowl and pour in liquid honey until completely covered. Stir every day and leave for 6 days. Strain the infusion and consume 1 teaspoon 3 times a day before meals. After such a drug, strength appears to fight the disease, and wounds will heal faster.

It is worth noting that if a fistula has formed after surgery, then treatment should be carried out under the supervision of doctors, and folk remedies are an addition to the main course.

Prevention of fistulas

In order to prevent fistulas from appearing after surgery, it is necessary:

First of all, observe the rules of asepsis during surgery.
All instruments and suture material must be sterile.
It is necessary to treat the wound before suturing it.
Vessel doping should occur with little tissue involvement.
Prescribe antibacterial drugs to prevent infections.
It is necessary to treat all infectious diseases, preventing the development of fistulas.

Treatment of fistula with folk remedies - Healthy lifestyle recipes

Ointment for all occasions

Take pine resin, medical tar, butter, aloe leaf pulp, and flower honey in equal proportions. Place this mixture in a water bath and heat there, stirring until the mixture becomes homogeneous. If it turns out very thick, dilute with vodka.

This ointment helps to cure any non-healing fistulas, bone tuberculosis, abscesses. You need to put it around the fistula, cover it with a sterile napkin, polyethylene and secure it with an adhesive plaster. (newspaper “Bulletin of Healthy Lifestyle” 2003, No. 3, p. 25)

Traditional treatment of fistula with cabbage

A woman developed a fistula under her knee; for 2 months doctors prescribed various ointments, but they did not help, her leg hurt. A neighbor suggested an unusual folk recipe: tie a fresh cabbage leaf to the sore every day and walk with it all day. Do the procedure for 12 days in a row. On the 13th day, red dots should appear around the fistula. If they appear, it means the treatment was successful, everything will heal quickly. The woman began making cabbage compresses; within a day the leaf dried out and became transparent. And after the 12th procedure, red dots around the fistula were discovered under the sheet. Everything went smoothly. After 3 days there was no trace left of the fistula. (recipe from Healthy Lifestyle 2002, No. 3, p. 18,)

Fistula in a newborn - treatment with aloe and mumiyo at home.

An umbilical fistula in a newborn child was cured with the following folk remedy.

Dilute the mumiyo with boiled water to the color of strong tea leaves. Mix the mummy solution and aloe juice in equal parts. Moisten a bandage with this mixture and apply to the navel. (folk recipe from Healthy Lifestyle 2003, No. 9, p. 27)

Ligature fistula - treatment with infusion of aloe and honey at home.

A man’s ligature fistula had not healed for 4.5 years; he turned to the readers of the newspaper “Vestnik ZOZH” to advise him on folk remedies to cure the fistula. I received a lot of advice. But the following folk recipe turned out to be very effective: tear off 12 leaves from the bottom of a 2-3 year old aloe, put it in the refrigerator for 10 days, rinse in boiled water and chop finely. Pour the crushed aloe into a jar, add fresh liquid honey there so that the aloe pieces are completely covered. Infuse the mixture for 6 days, shaking daily. Then strain the mixture, discard the aloe leaves, and take 1 tsp of the liquid. 3 times a day before meals. In addition to this treatment, the man also washed the ligature fistula daily with a furatsilin solution from a small syringe. After a month and a half of continuous treatment, the fistula began to actively heal. (recipe from Healthy Lifestyle 2004, No. 1, p. 27)

Traditional treatment of fistula after cancer surgery

The man was operated on for lung cancer. The postoperative fistula did not heal for a long time - it hurt, festered, the temperature rose, the patient lost 12 kg after the operation.

After studying a lot of literature, we decided to treat the fistula with celandine. The man began to drink an infusion of this herb. My appetite returned immediately and my health improved. He drank in courses: he drinks for a month, rests for a week. The fistula has healed, the tumors are not growing. (recipe from Healthy Lifestyle 2004, No. 12, p. 26)

External fistula - onion and calendula ointment.

Finely chop 200 g of onion, pour in 500 ml of hot rendered pork fat. Heat in a frying pan until the onion browns. Pour into a jar and cover for 8 hours.

Pour 1 cup of calendula flowers into 500 ml of hot rendered pork fat. Keep at 60 degrees for two days. Apply bandages to the fistula with these ointments, alternating them. (2005, no. 11, pp. 18-19)

Bread and salt are a folk method for treating fistula.

The man had 2 fistulas in the abdominal wall. I tried to treat fistulas at the clinic for three weeks, but to no avail. I decided to use folk remedies.

I pressed as much salt into the crumb of black bread as possible. I made a cake, smeared it on one side with saliva and applied the same side to the fistula. The second fistula was not touched for comparison. .Changed the cake every other day. On the fourth day, the fistula cleared up and began to heal. I got rid of the other one using the same method. Soon there were no traces left, only the skin was whiter at first. (review from Healthy Lifestyle 2005, No. 11, p. 31)

Fistula on the coccyx - traditional treatment mumiyo.

The woman repeatedly developed a fistula on her tailbone, lost her legs, and was unable to sit. They performed surgery several times, but the fistula on the tailbone opened again. Then the elderly doctor gave the patient a piece of mountain mumiyo the size of a match head - this was enough for a month's course - the woman made an aqueous solution of mumiyo and washed the fistula, making lotions. Three months later she carried out another course of treatment for the fistula. Since then, this sore has not bothered her. And now mumiyo can be bought without any problems at any pharmacy. (review from Healthy Lifestyle 2005, No. 24, p. 26)

Fistula on the leg - home treatment with oleoresin.

A man used oleoresin to save his toe from amputation. The finger was black and had a fistula with an unpleasant odor. He applied softened resin to a rag and wrapped his finger in it. The fistula closed after 3 days. (review from Healthy Lifestyle 2006, No. 4, p. 31)

Homemade ointment for fistula

After the operation, the man was left with a fistula. It was small, but blood was constantly oozing from it. At the hospital, his fistula was expanded, cleaned, and washed. And so several times, but to no avail. So they discharged me with a fistula that did not close. Every day by lunchtime the temperature rose, my whole body ached, sometimes the temperature jumped to 40 degrees and I had to call an ambulance. This went on for 8 months. In the summer, the patient moved to the village, where he began asking local residents for folk remedies for non-healing wounds and fistulas. He was advised to make an ointment from pine resin, wax, vegetable oil and butter. The man collected pine resin and prepared an ointment, adding more propolis. I soaked a bandage in the ointment, wrapped it around a match, and inserted the match into the wound before going to bed. The match went in almost completely. The next day the temperature did not rise. In the evening he performed the same procedure again, the Match only entered 3/4 of the way. The fistula gradually closed, and after a week it healed completely.

Here is the ointment recipe:

Take 1 tsp. crushed wax, propolis, resin, 2 tbsp. l. vegetable oil and 2 tbsp. l. (40-50 g) butter. Place everything in an enamel bowl and put on the lowest heat. Heat, stirring, until everything is dissolved. Immediately strain the hot mixture through 4 layers of gauze. (review from Healthy Lifestyle 2007, No. 19, p. 33)

Treatment of fistula with folk remedies.

One of the most effective folk remedies for fistula is mumiyo. It must be taken once a day on an empty stomach for 28 days (1 course of treatment). In advanced cases, the second course should be administered after 10 days. Mumiyo should be dissolved in 50 ml of water, or preferably milk. The daily dose of mumiyo depends on the patient’s weight: up to 70 kg – 0.2 g, up to 80 kg – 0.3 g, up to 90 – 0.4 g, over 90 kg – 0.5 g.

High-quality mumiyo dissolves in water without residue.

Simultaneously with oral administration, mumiyo is also used externally - make lotions by dissolving 3 g of mumiyo in 100 ml of water.

On fistulas and any abscesses, it is useful to apply cakes made from comfrey root powder overnight. Comfrey stimulates the growth of healthy skin cells.

Rinse the fistulas with very hot salt water (1 teaspoon of salt per 1 cup of water).

Lubricate wounds with celandine juice 2-3 times a day

(review from ZOZH ZOZH 2008, No. 19, p. 32-33)

Fistula in a child - treatment of fistula with dandelion tincture at home.

The child had fistulas near the ear tragus: holes appeared, sometimes sticky transparent liquid oozed from them. Pharmacy ointments did not help - the holes did not heal. When I had a cold, the fluid became purulent and my ears hurt. Over time, a foul odor appeared from the fistulas. It was time for the girl to go to school; she had to somehow get rid of the fistula. A tincture of dandelion flowers in triple cologne came to the rescue. At first, the tincture was simply applied to the wounds. After 3-4 times the inflammation stopped, the fistulas almost healed. But after a while, the inflammation began again, purulent discharge began. Then the parents decided to pour dandelion tincture directly into the fistulas with a pipette. After three such procedures, the fistulas near the ears were completely healed, healed very quickly and did not open again. (HLS 2010, No. 9, p. 10)

Cabbage leaf for postoperative fistula.

The woman underwent surgery, after which a fistula formed at the site of the suture. I turned to the surgeon, who said that I would have to live with the fistula. I read a recipe in the Healthy Lifestyle Bulletin that fistula can be treated with cabbage. The patient washed the cabbage leaf, beat it lightly until the juice appeared and applied it to the wound. After seven procedures, the fistula seemed to disappear, but the recipe said that it should be applied 12 times. The woman continued treatment. And after the eighth procedure, I saw on the removed piece of paper that the threads had been bunched up and sewn up due to carelessness during the operation. After the threads came out, the fistula healed, everything fell into place. (2012, no. 9, p. 31)

Ligature fistula does not close - what to do.

After surgery to remove a hernia, a fistula formed. It has been bothering the woman for five years: it constantly festers, and a lump the size of a chicken egg has formed. Surgeons believe that a new operation is needed. The patient contacted Vestnik ZOZH with the question “How to avoid surgery?”

Candidate of Medicine answers. Sci. A. I. Vanin.

In a patient, a ligature fistula is a fistula caused by the presence of an infected suture ligature (thread), which is tied during surgery on a transected vessel. Usually, a ligature fistula closes and heals after the festering threads have drained away. This did not happen for the patient. Therefore, she needs to do a fistulography - an X-ray examination of the fistula with contrast, to see if it is connected to the internal organs. Based on the results of the studies, the doctor will prescribe treatment for the fistula.

For now, you need to wash the wound with a 1% solution of dioxidine: inject the solution inside with a syringe without a needle and cover with a napkin soaked in the same solution. Secure with adhesive tape. Do the procedure every day for a week. If a lot of pus and fluid comes out, then rinse several times a day. Usually on the 3-4th day the fistula stops flowing. You can apply an oily solution of propolis or levomikol ointment.

At the same time, take sumamed tablets - 0.5 g 1 time per day 1-2 hours after breakfast at the same time. Course 3 days.

After this, take Complivit vitamins once a day for a month.

From folk remedies - take 1 tsp. 3 times a day aloe honey syrup, the recipe for which is given above.

A decoction of calendula flowers is also suitable for washing the fistula: 1 tbsp. l. for 1 cup boiling water. Add a few drops of tea tree oil to the warm broth. With the same decoction, apply compresses to the wound 1-2 times a day for 5-10 days.

Take medications and folk remedies to boost your immunity. (HLS 2013, No. 12, p. 16)

Treatment of rectal fistula - reviews: 2

Reviews on article 21

I finally found what I needed, I suffered from fistulas after surgery, thanks for the useful information.

After the operation, a fistula formed, and for 2 years I have not been able to heal it with anything.

After surgery, a fistula remained on the hip joint and has not healed for 2 years.

In November 2010, she underwent hip replacement surgery. On the 10th day, the temperature began to rise to 38 degrees. After 2 months, a fistula opened on the scar. A diagnosis of chronic osteomyelitis of the fistulous form was made. And now for the 4th year my leg has been leaking, it hurts, the temperature is rising. My leg is swollen, my knee is deformed, and I have great difficulty walking with a cane. What to do? Doctors can't help. I was in the bone and purulent department three times, to no avail.

After a tooth was removed, my husband developed a fistula in the lower jaw on the left; everything he eats and drinks comes out. Previously there was pus, now there is not, but it does not heal. They had surgery, but everything was the same. Tell me what to do?

The fistula burst, I went to the toilet at night, and it began to come out. Blood with pus. I tried to treat the fistula with folk remedies: mumiyo, applied aloe, drank honey, applied ointments, made mumiyo with aloe. Now, when I go to the toilet, blood and ichor come out of the fistula, I wash it with furatsilin. Tell me what to do next.

Maybe someone will find this folk remedy for fistulas useful; I tested it on myself. When I was in the maternity hospital after the birth of my first child, I had many tears (9) and stitches placed on them. And there one woman applied ordinary Kalanchoe juice with alcohol (then cheap Kalanchoe juice, sold in all pharmacies) to the same stitches, and I tried it. For her and for me, everything healed very quickly, as people say, like a dog, it never hurt due to the weather, like others. At the age of 50, I was in the hospital with abdominal surgery to remove fibroids, naturally with a huge suture up to the navel. At the hospital, the seam was treated only with iodoperone and that’s it. When I was discharged home, I went to the village hospital for dressings, and the surgeon kept telling me that it seemed like there would be fistulas. And then I remembered about Kalanchoe juice. I barely found it on sale, this is of course not the same product that was produced before, but still... The seam has healed smoothly, without fistulas and has not hardened, my skin in this place is soft, like everywhere else. I moistened a long wick of cotton wool over the entire seam, and put cellophane on top, since the liquid quickly evaporates from body heat, and to save money, you need to lie with this lotion for 15-20 minutes. And for many, the stitches fester very often. But it is advisable that a doctor observe you.

A proven method for a fistula: one 45-year-old woman fell ill with paraproctitis, it is also called a hair fistula. Unfortunately, the doctors said that the only way to get rid of it was through surgery. Fortunately, she was told one folk remedy for paraproctitis, which she decided to use before going under the knife.

All you need is wood ash. To prepare the recipe, take 2 handfuls of ash, which is approximately 70 grams, and add seven liters of water. When the water boils, reduce the gas and continue boiling for 30 minutes. Then strain and let it cool to normal temperature so that the skin can tolerate it. Dip the area of the body with the affected skin into the broth and keep it there for 25 minutes, washing the wound. After just three procedures, the woman’s wound healed, and she never had paraproctitis again.

I have been suffering for five years; over the years I have had several operations. Pus comes out of the fistula with a smell, slightly painful. Please help, thanks in advance!

We use Rotokan tincture for 3 days. Let's see.

I have been suffering for 10 years, fistula, pus sometimes comes, sometimes it doesn’t

Doctors say that there is pus in the bronchi, the diagnosis is a fistula, what folk remedies can help, my stepfather is sick, the doctors are not treating him, they are only crippling him, I don’t know how to help him. Please tell me a folk remedy for a fistula in the bronchi, if there is one, of course.

Well done! Very good tips.

Nothing helps: the fistula does not heal after surgery, no matter what remedies have been tried...

I’m reading reviews about the treatment of fistula, I’ll try to treat the fistula after surgery by applying resin, maybe it will heal faster.

I have been suffering for 2 years after an operation to remove a kidney, after 17 years a fistula appeared, it was removed, after the fistula was removed, 2 weeks later it curled up again, was removed again and opened again, please advise what to do?

They removed the gray on the leg, it has not healed for 4 months and fluid is leaking. I tried all sorts of ointments, including homemade ones with beeswax, to no avail. Please tell me something else.

After an injury to my leg, I think that a fistula has formed, since the wound is overgrown in a circle, but the bone has not closed. I apply the ointment, the wound does not heal, I don’t know what to do.

I have a giant umbilical hernia, I have been living with a bandage for 10 years because they refused to perform surgery due to the size of the hernia and weight. 3 months ago a wound appeared on the hernia, apparently pinched by the bandage. I treated everything with ointments and folk remedies, nothing helps. The doctor said that the fistula would not heal because it was a hernia, and no one would dare repair such a hernia, and he sent me home. He didn’t prescribe treatment for the fistula, which only meant dying.

I had surgery on my neck for cancer, a fistula formed at the junction of two sutures, what should I do?

I want to thank you for the recipes, you saved my leg. At the beginning of September, a plantar wart was removed in a beauty salon. and apparently they got an infection. I was in the hospital, but to no avail, a fistula formed. I tried to treat the fistula with ointments, but nothing worked. Then I made an ointment: 3 grams of propolis, 3 grams of oleoresin, half a church candle, two tables. spoons of unction oil, 30 grams of birch tar, one table. spoon of olive oil (cook in a water bath). In addition, I steamed my leg in a decoction of calendula and performed procedures with the “Vitafon” device every two hours. It hasn’t healed at all yet, but there is some sense. And also, I applied ointment deep into the wound with a cotton swab. Get well!

The term "fistula" refers to an abnormal connection between two biological surfaces, such as organs, blood vessels or intestines. This abnormal connection is tube-shaped and can appear in many places and in many variations, although anorectal fistulas are the most common. The most common treatment is surgery, although some lifestyle changes may also help. We'll discuss all the options below, starting with step 1.

Steps

Part 1

Lifestyle change

Eat a balanced diet. Taking care of your diet helps maintain a healthy stomach and digestive tract. Simply by avoiding spicy foods, fast foods and fatty foods, you will keep your digestive system healthy and less prone to problems. Choose whole grains, green leafy vegetables, fruits and lean meats.
- Adding fiber and grains to your diet will help soften your stool and make bowel movements easier.
- Try to find out which food causes allergies or upset stomach. Remember that there is no clear rule - each person is individual.
- Fat can increase the likelihood of blocking the fistula tunnel and thus can cause the formation of a perianal abscess, a major cause of pain in people suffering from fistulas.
Drink more water. It is recommended to drink one and a half liters of water per day unless your doctor says otherwise. Stop drinking alcohol and carbonated drinks; Instead, it is better to consume more water and fruit juice. This will help prevent possible constipation, which puts pressure on the fistula.
- Excess water will soften stools and help cleanse the intestines; this is why if you drink a lot of water, you feel the need to go to the toilet more often.
- Water also prevents the intestines from clogging, especially in patients suffering from certain diseases of the digestive system, such as Crohn's disease, toxic megacolon, etc. In patients with fistulas, water makes the pus more watery and thus reduces the possibility of abscess formation.
Use pillows. If your job requires sitting for long hours, avoid putting extra pressure on your back, buttocks, and legs, especially if you have an anal fistula. This can be done by sitting on a cushion or thought cushion instead of a regular chair.
- It doesn't matter what others think - your comfort is most important. Try to avoid situations where you will not be comfortable sitting or bring a pillow with you.
Use absorbent pads. If the fistula is causing discharge, wear soft, absorbent pads so you don't have to worry about blood, pus, or fistula fluid leaking because the pads will act as absorbent surfaces.
- Adult incontinence pads are also suitable, although they are a little bulky and self-conscious. The pads are thinner and much easier to use.
Maintain personal hygiene. Wash after each bowel movement or after each trip to the toilet. Bacteria should not remain on the skin - this is the first step in caring for the infection. This rule is doubly true in public restrooms and if you are incontinent.
- If you're out and about and can't do this, always have some tissues ready to use while you can't get home. Your hands experience the most exposure to germs and therefore need to stay clean.
- Change your underwear at least once a day. Also change your towels every time you bathe. This will help prevent the spread of germs and bacterial growth, which can help reduce perianal irritation and thus help in eliminating the irritating symptoms experienced by people with fistulas.
Take painkillers. Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), is a pain reliever most commonly used to treat pain from fistulas. Anorectal fistulas are often accompanied by constant, throbbing pain that becomes seriously worse when the person sits down. To help manage this, talk to your doctor about what dosage is best for you.
- From a medical point of view, pain is a complication of blocked fistula passage. A blocked fistula tract accumulates pus rather than expelling it, a process that will eventually lead to the formation of an abscess, or the accumulation of pus near the surface of the skin.
- The pain may also be accompanied by an unpleasant sensation in the perianal area due to leakage of pus.
Strengthen your immune system. Maintaining a healthy diet and eating foods rich in omega-3, omega-6, and vitamin C, such as fish, olive oil and citrus fruits, will help strengthen the immune system and reduce the level of inflammation caused by the fistula. You can also take dietary supplements if your doctor thinks it's worth it.
- Exercising, drinking plenty of water, sleeping well and maintaining good hygiene will also help you maintain your health. And if you have any bad habits - like smoking - consider this a reason to give them up.
Be active. If your condition does not interfere with simple, gentle exercise, such as slow walking, do so for your health and to reduce stress. Stress can affect your overall mood and can cause stomach problems and irritation. This in turn affects your digestive system and your overall eating habits, creating a vicious cycle.
- Always stop for a while to catch your breath if you feel pain or are unable to continue what you are doing. This is your body telling you that it cannot handle the stress it is putting on you.
- Ask your doctor to recommend any types of light exercise you can do. Even at home, you can practice yoga, which is recommended by many doctors for calming, relieving stress and fighting depression. It also improves your mood and overall health.
Part 2
Treatment
1. Visit your doctor. The diagnosis is made based on visual examination. After a visual examination, it is necessary to do a sigmoidoscopy to exclude Crohn's disease. However, to find out all the details of your illness, the doctor will also perform one or more of the following tests:
  - Computed tomography (CT). Especially in patients with Crohn's disease, CT shows the inflammatory stage before possible fistula formation and also shows abscess cavities to determine the need for surgical intervention.
  - Magnetic resonance imaging (MRI). This is a useful method for identifying any intestinal fistulas as it shows the presence of inflammatory changes or fluid accumulation in the fistula tube.
  - Fistulography. This is an x-ray method in which a contrast agent is injected onto the outside of the fistula to determine the location of the fistula and how deep in the tissue it is, which will help in choosing treatment.
  - Ultrasound. In combination with a physical examination, ultrasound can be used to determine the presence of an abscess or fluid collection in the fistula tube.
  - Cystoscopy. This test helps with intravesical fistula, which connects the intestine to the bladder.
  - Microbiological tests. Urine culture may be necessary to determine signs of infection, especially in the presence of an abscess and in the case of colovesical fistulas.
2. Have surgery. The most common treatment for fistulas is a surgical procedure called “fistula dissection.” This process involves removing the fistula and suctioning out the pus or fluid contained within it. Fistula dissection is effective in more than 85% of cases.
  - When cutting rectal fistulas, a procedure known as endorectal proctoplasty will be used. During this operation, the surrounding healthy tissue will be moved within the fistula cavity to prevent feces from blocking the cavity if the infection recurs.
  - Satin stitching (placing a tube into the fistula cavity to close it while drainage) is also used when dissecting the fistula. Typically, this procedure requires several visits to the doctor until recovery and until the stitches fall out.
3. Be especially careful if your fistula is located near your esophagus. Fistulas between the esophagus and the tracheal-bronchial tree are considered life-threatening and require immediate and ongoing treatment. If left untreated, they can cause chronic lung abscesses and fatal pneumonia. Treatment is provided through medical procedures such as:
  - Dilatation of the esophagus. This method, however, is falling out of favor because it rarely remains effective for more than a few days.
  - Mesh made of flexible metal thread. They are most effective in maintaining the patency and structure of the esophagus. #*Mesh made of plastic threads. They can also be used to close trachea-esophageal fistulas; some also have a valve that prevents reflux when the fistula is near the esophageal sphincter.
4. Make a follow-up visit to your doctor. It is incredibly important to follow your doctor's instructions after surgery, especially if you have chronic inflammatory conditions such as Crohn's disease. In these cases, fistulas are simply a side effect and the actual cause must be addressed.
  - There are other issues directly related to intestinal fistulas that the patient should be aware of and monitor. Sepsis must be avoided by treating manifestations of infection such as inflammation in the tissue surrounding the fistula; monitor the drainage of the fistula and take proper care of the skin to keep nearby tissue healthy.
  - Proper nutrition can be achieved by administering parenteral nutrition (intravenously, drip), which is highly recommended for severe fistulas. This will prevent a possible malnutrition problem.
5. Take antibiotics with your doctor's approval. The use of antibiotics can help minimize the chances of infection in the fistula area, especially with intestinal fistulas. An elevated white blood cell count indicates an infection, which may need to be treated with an appropriate antibiotic.
  - Antibiotics should not be taken on a whim unless your doctor tells you to do so. The fact is that most patients with fistulas suffer from colon disorders/diseases, some of which are caused by improper use of antibiotics.
  - Antibiotics should only be considered to treat a fistula infection and relieve symptoms such as severe pain with or without an abscess, skin irritation such as redness, and if a high fever persists for more than 24 hours.
  - Fistulas can be treated initially with metronidazole and ciprofloxacin or vancomycin. 250-500 mg of metronidazole should be taken every 8 hours; 125-250 mg of vancomycin - every 6 hours or three times a day an hour after meals.

As a result of an inflammatory process or surgical intervention, a so-called fistula can form - a channel connecting two cavities to each other or an organ to the surface of the body. The inside of the fistula is filled with exudate, so the inflammation progresses over time. This pathology cannot heal on its own; mandatory drug treatment or surgical intervention is required.

What is a fistula

As a result of various pathological processes, purulent fluid accumulates at the site of inflammation - it consists of bacterial cells along with their waste products and dead leukocytes. As the pathology develops, the amount of exudate gradually increases; it does not fit into the cavity, so the body tries to give it a way out. This is how a fistula is formed - a fistula (tube, channel), which connects the affected cavity or organ with the place where the exudate exits (the surface of the skin or another cavity).

A purulent secretion constantly passes through a fistula, the surface of which is covered by an epithelial layer or granulation tissue, multiplying inflammation, so spontaneous healing of such a pathology is problematic, but in some cases possible. In addition, fistulas often have multiple branches, which makes surgical removal of the pathology difficult.

Under certain conditions, microorganisms from purulent fluid can “migrate” to surrounding organs and tissues, provoking the appearance of new foci of inflammation. The composition of the separated substance directly depends on the organ with which the channel is connected; The more aggressive the secretion, the more it damages the skin or nearby tissues. When fistulas occur, fluid loss and intoxication of the body occur, which leads to metabolic disorders and water-salt balance.

Fistulas can exist in the body for a long time and, in the absence of proper treatment, affect several organs. If the inflammation of the original organ is stopped, purulent discharge ceases to flow into the canal, it closes and heals. When the pathological process resumes, the fistula begins to function again, accumulate and release exudate - a relapse occurs.

What does a fistula look like?

There are internal fistulas, which connect cavities inside the body, and external ones. A fistula on the skin looks like an inflamed wound from which pus oozes; the edges may resemble lips. An external fistula occurs on a person’s skin near cavities - for example, in the throat and nose. In some cases, a person may not be aware of the presence of an inflammatory process in the body until a fistula appears on the surface of the skin. In case of severe damage to internal organs, not only purulent exudate, but also fecal, urinary, and bile fluid can be released from the canal.

What does it come from?

Gram-negative, anaerobic bacteria, streptococcus aureus, staphylococci, some types of fungi, etc. can act as an etiological factor. Fistulas form for the following reasons:

tuberculosis infection;
Crohn's disease (severe chronic disease of the gastrointestinal tract);
actinomycosis - chronic diseases resulting from infection with a fungus;
complications after surgery (for example, a ligature fistula is formed due to suppuration around the sutures on the blood vessels);
chronic ENT diseases;
the presence of sequestra - dead areas of bone;
injuries of peri-intestinal tissue;
dental pathologies (periodontitis, caries);
paraproctitis - inflammation in the crypts of the anal canal of the intestine;
neoplasms (benign and malignant) on the rectum;
suppuration around foreign bodies inside the body (for example, a bullet or its fragments).

Symptoms

The signs of a fistula are in most cases similar, depending on the location of the source of inflammation and the affected organ. With pathology, the patient experiences the following symptoms:

low-grade body temperature due to the presence of an inflammatory process in the body;
signs of intoxication - weakness, headaches and muscle pain, sleep disturbances, decreased performance;
the presence of a characteristic pain syndrome if the fistula affects the nerve endings (for example, a rectal fistula is accompanied by painful sensations in the anus, which intensify during defecation);
the pain subsides after the bubble breaks through at the end of the canal and releases the secretion onto the skin or into the cavity.

Kinds

There are several classifications of fistulas. Based on their origin, the following types are distinguished:

Congenital fistulas are formed due to malformations of the embryo; Some of them (for example, an umbilical fistula) are discovered by doctors before or during childbirth.
Acquired pathological channels arise as a result of inflammatory processes, injuries or operations (for example, a fistula on the leg or arm can occur due to a fracture or bruise).
Artificially created fistulas are designed to drain fluids from the body (purulent, urinary, fecal, bile).

According to their location, fistulas are divided into the following types:

Urinary - installed on the ureters, bladder or urethra, possible formation as a result of injury.
Biliary fistulas occur due to operations on the gallbladder. The secretion secreted by such a fistula leaves burns on nearby tissues, so treatment must be started immediately.
Purulent canals can appear anywhere on the body; they often appear on the gums due to poorly healed teeth. In rare cases, a purulent fistula can heal on its own, but more often a relapse occurs and purulent exudate begins to be released through the canal again.
Salivary fistulas are formed as a result of inflammatory processes in the cheek, neck or ear; saliva is released through them.
Bronchial - connects the bronchi to the pleural cavity.
Gastric fistulas are installed artificially for enteral feeding of the patient after gastrectomy with deviations of the digestive system and gastrointestinal tract.
There are fistulas of the upper and lower parts of the small intestine. The first arise due to injuries or operations, often heal on their own with proper care, the second are created by surgeons to drain feces in case of intestinal obstruction or peritonitis (fecal fistula).
Channels in the large intestine arise as a result of trauma, surgery, or are installed artificially. They often heal on their own, but require special care - the use of protective ointments to avoid injury.

Diagnostic methods

To make an accurate diagnosis, the doctor gets acquainted with the patient’s medical history, palpates the inflammatory focus, assesses the amount and appearance of the secreted fluid, and asks the patient about complaints about dysfunction of internal organs. After this, the doctor refers the patient to further diagnostic measures:

A blood and urine test and blood culture for the presence of pathogenic bacteria can indicate the presence of inflammation and its nature.
CT (computed tomography), MRI (magnetic resonance imaging) are often used as a means of diagnosing fistulas.
One of the most effective methods is radiography with the introduction of a contrast agent into the fistula cavity to determine the size, length, and branching of the fistula.
The probing method is considered no less effective; it is used only in cases of external fistulas, in which the outer edge extends to the surface of the skin.
Studies of purulent fluid are used to determine the primary organ that gave rise to the pathological canal.
During fistula surgery, specialists inject dyes (such as methyl blue) to evaluate the entire structure of the canal and accurately identify the original organ.
Ultrasound is rarely used to diagnose fistulas, because this method is less informative.

Treatment of fistula

In essence, a fistula is a tube with dead remains of bacteria; often its treatment consists of excision of the canal, cleaning it chemically or mechanically and relieving the inflammation of the organ from which the fistula began. For example, when getting rid of a rectal fistula, the most effective method is surgery. Full recovery of the patient occurs in 20-30 days, during which time the patient is advised to take medicinal baths and refrain from physical activity to avoid sphincter injuries.

Local remedies are also used to treat fistulas (baths, ointments, powders, antiseptic rinsing solutions, etc.). In some cases, the doctor prescribes antibiotics to eliminate bacterial infection, painkillers and antipyretics to improve the patient's condition. The following medications are used as drugs used for the treatment of fistulas:

Name of the drug	Active substance; dosage	Action	Indications for use	Side effects	Contraindications
Dioxysol (external use)	Lidocaine 6%, Dioxidine 1.2% in 1 ml. Solution in bottles and jars of 50, 100, 500, 1000 g	Pain relief; antibacterial effect on a wide range of microorganisms	Purulent wounds and fistulas, burns, abscesses	Bradycardia, nervousness, depression, hypotension	Pathologies of the cardiovascular system; pregnancy, lactation period, childhood
Chlorhexidine bigluconate (external use)	Chlorhexidine bigluconate 0.05% in 1 ml. Solution in bottles of 40, 80, 100, 200 ml	Bactericidal effect	Prevention of sexually transmitted diseases, burns, abscesses, fistulas, wounds	Dermatitis, allergies, itching and burning of the skin	Viral skin diseases, dermatitis, hypersensitivity to the components of the drug
Miramistin ointment (external use)	Miramistin 5 mg per 1 g ointment. Cans of 1000 g, tubes of 15, 30 g	Antiseptic, antimicrobial effect. The therapeutic effect is enhanced due to deep penetration into the lower layers of the skin Ointment The following products are used as homemade ointments: Mix vodka and olive oil in a 1:1 ratio, treat the affected area with the mixture several times a day, then apply a cabbage leaf to remove pus. To achieve maximum effect, the product is used for several weeks. Fresh calendula flowers are placed tightly in a glass container, poured with melted butter, and left for 12 hours. After this, place in the oven for 48 hours (at a temperature of 70 degrees). The medicine is stored in a container with an airtight lid in a dark place. The resulting product is used to lubricate the opening of the fistula. 200 g of finely chopped onion are poured with hot pork fat and heated in a frying pan until the onion darkens. The resulting mixture is infused for 6 hours, shaking occasionally. The fistula is treated with this ointment, alternating with other means. Decoctions A few examples of tinctures and decoctions for the treatment of fistulas: Mix equal amounts of aloe juice and mummy juice (after soaking it in water), and apply a bandage soaked in the solution to the sore spot for a long time. 2 tablespoons of St. John's wort are poured into 2 glasses of water, the mixture is boiled for 10 minutes, and the resulting solution is filtered. The mixture is laid out on film and the sore spot is wrapped with such a compress, then the inflammation site is washed with the remaining solution. The product is used until the canal begins to release exudate. To treat external fistulas, prepare a tincture of dandelion flowers in triple cologne. The resulting liquid is pipetted directly into the fistula canal to achieve maximum therapeutic effect. Video

It will help to draw out pus from the fistula tract. How to treat an abscess with folk remedies. Bladder suppuration

Symptoms of ligature fistula

Complications arising from the appearance of a postoperative fistula

Diagnostics

Treatment of ligature fistula

Prognosis and prevention

Ligature fistula after surgery: treatment, surgery, urinary tract, photo

Diagnostics

Treatment

Prevention after surgery and prognosis

Comments

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Fistula after surgery: how to treat?

Fistula - what is it?

Types of fistulas

What are the reasons for the appearance of a fistula after surgery?

How to recognize the appearance of a fistula after surgery?

Diagnosis of fistula

Treatment of fistulas

Postoperative intervention

Traditional methods of treatment

Prevention of fistulas

Ligature fistula

Symptoms of ligature fistula

Treatment of ligature fistula

Prevention

6 comments

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Lotions with calendula

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How to heal a fistula with folk remedies?

Fistula after surgery: how to treat?

Fistula - what is it?

Types of fistulas

What are the reasons for the appearance of a fistula after surgery?

How to recognize the appearance of a fistula after surgery?

Diagnosis of fistula

Treatment of fistulas

Postoperative intervention

Traditional methods of treatment

Prevention of fistulas

Treatment of fistula with folk remedies - Healthy lifestyle recipes

Reviews on article 21

Steps

What is a fistula

What does a fistula look like?

What does it come from?

Symptoms

Kinds

Diagnostic methods

Treatment of fistula

Ointment

Decoctions

Video