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In some types of fistulae, a seton may be tied with more tension and tightened periodically. In this case, the seton loop will slowly cut through tissue inside the loop while scarring behind the loop, essentially "pulling out" the fistula without surgery. This is the Kshar-Sutra method mentioned by Sushruta in ancient Indian surgical practice.
Fistulectomy is a surgical procedure where a surgeon completely removes a fistula, an abnormal tract (i.e. tube) that connects two hollow spaces of the body. [1] [2] In comparison to other procedural options of treating fistulae such as fistulotomies, where a fistula is cut open (i.e. unroofed) but not completely removed, and seton placement, where a rubber band seton is passed through the ...
If it has not closed by 12 weeks, it is unlikely to do so and definitive surgery should be planned. The median time to definitive repair from fistula onset was 6 months (range 1 day to 28 months). The 6-month time course is commonly utilized by groups with significant experience treating fistulas, owing to the trend in encountering a less ...
A surgical drain is a tube used to remove pus, blood or other fluids from a wound, [1] body cavity, or organ. They are commonly placed by surgeons or interventional radiologists after procedures or some types of injuries, but they can also be used as an intervention for decompression. There are several types of drains, and selection of which to ...
Pleural empyema is a collection of pus in the pleural cavity caused by microorganisms, usually bacteria. [1] Often it happens in the context of a pneumonia , injury, or chest surgery. [ 1 ] It is one of the various kinds of pleural effusion .
A seroma is usually caused by surgery. Seromas are particularly common after breast surgery [3] (e.g., mastectomy), [4] abdominal surgery, and reconstructive surgery. It can also be seen after neck surgery, [1] thyroid and parathyroid surgery, [5] and hernia repair. [2] The larger the surgical intervention, the more likely that seromas form.
Fistulas can form after long-term pessary use, [10] hysterectomies, malignant disease and pelvic irradiation, [4] [11] [1] pelvic surgery, cancer or a pelvic fracture. [4] [12] Fistulas are sometimes found after a cesarean section. [8] Providers can also inadvertently cause a fistula when performing obstetric or gynecological surgery.
The fistula can communicate with the mouth (usually causing no symptoms), the paranasal sinuses (giving rhinorrhea) [1] or the facial skin (causing saliva to drain onto the skin). The usual cause is trauma, however salivary fistula can occur as a complication of surgery, or if the duct becomes obstructed with a calculus .