High Perianal Fistulectomy Surgery

What is High Perianal Fistulectomy?

A high perianal fistula is an abnormal tunnel that forms between the anal canal and the skin, often deeper and more complex than a low perianal fistula. This condition requires a precise surgical approach to prevent recurrence and avoid damage to the anal muscles. This procedure is recommended for patients experiencing:

• Deep or recurrent anal fistulas that have not responded to previous treatments.
• Frequent abscess formation or persistent pus discharge.
• Chronic pain or swelling in the anal region.
• Fistula complications related to inflammatory bowel diseases like Crohn’s disease.

How is the Procedure Performed?

• A precise surgical incision is made along the fistula tract for complete removal.
• The affected area is cleaned and reconstructed to ensure proper healing.
• In some cases, biological plugs or the LIFT (Ligation of Intersphincteric Fistula Tract) technique may be used to preserve sphincter function.
• The procedure is performed under spinal or general anesthesia, with a short recovery period and follow-up care to ensure optimal healing.