“Another surgery suggested post anal fissure surgery”
Hi Doctor i'm a 34 years old female. I had a anal fissure surgery exactly a month ago. post surgery .. i was given heavy painkillers Tramadol(50mg) for a week . later when i complained of leakage and smelly discharge , my doctor prescribed Sulfameth/TMP 800/160 MG TB (antibiotics) for two weeks. after 4 weeks of surgery when i went for follow up, he examined and found leakage and suggested another surgery to treat this where he said he is going to open the stitches and clean the area and let it dry n heal by itself. Now that my surgery is planned in two days... I'm very scared if i have taken right decision . please help me know if i should still go for surgery or cancel it. i have only 24 hours to decide. and I'm unable to get any appointment with other surgeons for a second opinion. please help
Female | 34 years old
Complaint duration: 30 days
Medications: Antibiotics
Conditions: Anal fissure surgery
7 Answers
You should remove the dead infected tissue.
This is always a difficult problem and if you are still having problems a colo-rectal surgeon is your best solution here, someone who has special training for these problems.
Your current surgeon who provided consultation should have discussed all your options given your physical examination. You can cancel your surgery and seek a second opinion if you are not comfortable moving forward with surgery. It is your body and you should not feel like you are being trapped into a decision if you are not aware why repeat surgery was the recommendation. I recommend getting a second opinion if you are not comfortable moving forward with your scheduled surgery. Additional you can contact your surgeon to address your concerns.
If the infection has become an abscess that you need to drain and has not improved with antibiotics, then you need to go ahead. If the problem has not become acute to define the damage it has progressed more than, then before the examination under anesthetic, an MRI could help. But this is not necessary if it’s a fissure only; this is easy to see on an examination under anesthetic.
Dear Patient:
Anal fissures and anal fistula are 2 different things. For what you mentioned, it sounds like a fistula. Bactrim (Sul/TMP) are not made to cover colonic flora, therefore, I doubt will help you; in fact, unless there is an abscess, rarely one can use Ab for this reason. If a fistula is the problem, I would suggest "seton" placement, painful but effective. This way, I have treated many patients with long-term good results.
Good luck,
ET
Anal fissures and anal fistula are 2 different things. For what you mentioned, it sounds like a fistula. Bactrim (Sul/TMP) are not made to cover colonic flora, therefore, I doubt will help you; in fact, unless there is an abscess, rarely one can use Ab for this reason. If a fistula is the problem, I would suggest "seton" placement, painful but effective. This way, I have treated many patients with long-term good results.
Good luck,
ET
Yes I think you should have the stitches removed and let the space heal by itself. Let your surgeon handle it and it must be all healed in two to three weeks.
My dear young lady you do have a problem. I will agree with the doctor that from what you tell me another surgery of some kind is nessecary
