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A fistulotomy is a procedure that may be done to remove a fistula. Learn more about what to expect during and after this procedure. all symptomatic anorectal fistulae require anal fistulotomy. The primary treatment for perianal crohn fistulae is medical (eg, immunologic agents), and surgery is reserved for control of perianal sepsis, where less (eg, placement of draining setons) is more. An anal fistulotomy is surgery to open and drain an anal fistula, helping the fistula to heal. An anal fistula is a small tunnel (tract) from the anal canal to a hole in the skin near the anus. Your doctor will give you medicine to make you sleep or feel relaxed. a fistulotomy is a surgical procedure that is performed to correct anal fistulas. A fistula is a small, sometimes painful channel that splits from the anal cavity, buries within muscle tissue, and emerges through the skin near the anus. The only reliable treatment for fistulas is fistulotomy, and. An anal fistula, or fistula-in-ano, is an abnormal connection between the anal canal and the skin around the anus. They are often the result of a previous or current peri-anal abscess, leaving a narrow tunnel behind. Here, we present the case of a 1-year-old male with a history of recurrent peri-anal infection, which led to the development of an anal fistula. The anal fistula was noted to be superficial and a fistulotomy was performed by threading the tract and then opening it up. A fistulotomy is a procedure that is done to treat a condition called a fistula. A fistula is a connection that forms between two parts of the body (such as the bowel and the vagina or the bowel and the skin) that do not normally have a connection. Pre-operative preparation for a anal fistulotomy procedure there is some important information about the pre-operative preparation for this procedure. Read about anorectal pre-operative preparation procedure a fistulotomy is the standard technique of managing an anal fistula. A rectal fistulotomy is surgery to heal a fistula near your anus. A rectal fistula is a tunnel-like wound that forms next to your anus. It spreads from inside your rectum to the skin surface near your anus.