Home » MD » Baltimore MD » Fistulotomy

Fistulotomy Surgeons Baltimore MD

An anal abscess results when a small gland just inside the anus becomes infected from bacteria or stool trapped in the gland. You will experience intense anal pain and swelling. An anal abscess is treated by draining the pus through an opening made in the skin near the anus. An anal fistula usually develops in about 30-50 percent of all anal abscess cases. After an abscess has been drained, a passage may remain between the anal gland and the skin, resulting in a fistula. If the gland does not heal, there will be persistent drainage through this passage. If the outside opening of the fistula heals first, a recurrent abscess may develop. A fistulotomy is a surgical procedure to treat an anal fistula. During the surgery, the passage is opened, merging the fistula with the anal canal. The tissue is then given a chance to heal after the pus is drained. Listed below you will find local gastroenterologists around Baltimore that can explain more about this colorectal surgery procedure.

Local Companies

Marcelo G Cardarelli
(410) 328-6897
22 S Greene St
Baltimore, MD

View More Info

John Scott Roth, MD
252-816-3290
22 S Greene St Rm S4B13
Baltimore, MD

View More Info

Richard F Heitmiller
(410) 554-2063
3333 N Calvert St
Baltimore, MD

View More Info

Stephen C Jacobs
(410) 328-6897
22 S Greene St
Baltimore, MD

View More Info

Thomas Michael Scalea, MD
410-328-8976
22 S Greene St
Baltimore, MD

View More Info

Harold Edward Ramsey, MD
410-523-5222
301 McMechen St
Baltimore, MD

View More Info

Alexander E Pazoki, MD
410-328-6195
419 W Redwood St Ste 410
Baltimore, MD

View More Info

Gauri C Bedi, MD
800-636-3729
227 Street Paul Place 5th Floor
Baltimore, MD

View More Info

Marshall E Benjamin
(410) 328-6897
22 S Greene St
Baltimore, MD

View More Info

Donald Stuart Gann, MD
410-328-8701
22 S Greene St
Baltimore, MD

View More Info

Data Provided by:

Fistulotomy

Preoperative Care

Most patients who undergo a fistulotomy can go home frome the hospital the same day. If a patient must remain in the hospital, he or she is usually discharged the following day.

As with any surgical procedure, certain preoperative tests are ordered. Blood and urine tests, a chest x-ray, and an EKG may be required. The need for additional tests depends on the patient's health and if general anesthesia is going to be utilized. These tests are normally done a few days prior to the surgery.

Medications that "thin" the blood, including aspirin, are usually discontinued several days before scheduled surgery. On the day of surgery, other prescription drugs may also be held. The need for discontinuing medications must be discussed with the physician before the operation.

If general anesthesia is going to be used, nothing can be eaten from midnight on the evening before surgery until after the procedure. This includes all food, water, chewing gum, and candy. This precaution decreases the possibility of vomiting during and after surgery.

For local and spinal anesthesia, dietary restrictions vary. Some doctors require their patients to follow the guidelines for general anesthesia in case it becomes necessary to switch to general anesthesia during the procedure. Dietary restrictions should be discussed with the physician in advance.

Check-in is usually the same day as the surgery. An informed consent form must be signed acknowledging that the patient understands the procedure, the potential risks, and that they will receive certain medications.

The anesthesiologist (doctor who administers the anesthesia) performs a brief physical examination and takes a patient history. It is important that the anesthesiologist is aware of all medications that the patient is taking, any allergies, and if there has been a prior adverse reaction to anesthesia. This information helps the anesthesiologist select the most suitable anesthetic agents and dosages and avoid possible complications.

Hospitals usually have an area reserved for same day or ambulatory surgical patients. Instead of checking into a room, same day patients go to this unit before and after the procedure. In preparation for surgery, patients have an intravenous line put in to receive fluids and medication during and after surgery. They may be given a sedative by injection or through the intravenous line to help them relax.

Same day surgical patients may go from this area to the operating room or may be taken to the preoperative or holding area, for a short time. Sometimes the intravenous is started here, depending on hospital protocol. The anesthesia is administered in the operating room.

Postoperative Care

After surgery, the patient is taken to the recovery room or post anesthesia recovery unit (PACU) and is closely monitored by the nursing staff until they are stable. The amount of time spent in the PACU depends on the patient's progress and the type of an...

Click here to read the rest of the article from surgerychannel

Resources

UNIVERSITY OF MARYLAND MEDICAL CENTER

from: Medicare.govHospitalCompare_General

ProviderNumber: 210002 Title: UNIVERSITY OF MARYL...

ProviderNumber: 210002

Title: UNIVERSITY OF MARYLAND MEDICAL CENTER

Address1: 22 S GREENE ST

City: BALTIMORE

State Code: MD

Zip Code: 21201

County: BALTIMORE CITY

Phone Number: 4103280313

Hospital Type: Acute Care Hospitals

Hospital Ownership: Voluntary non-profit - Private

Emergency Services: Yes

Registries: Registries: Cardiac Surgery - YES; Stroke Care - YES; Nursing Care - YES

Death from serious treatable complications after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Collapsed lung due to medical treatment Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Breathing failure after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Serious blood clots after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

A wound that splits open after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Accidental cuts and tears from medical treatment Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Serious Complications Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Death after surgery to repair a weakness in the abdominal aorta: Not Available (Number of Patients: NA; Rate: NA)

Deaths after admission for broken hip Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Deaths from Certain Conditions Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Patient Review Communication:
Nurses communicated well - Sometimes/Never: 6; Usually: 19; Always: 75
Doctors communicated well - Sometimes/Never: 4; Usually: 17; Always: 79
Receive help as soon as they want - Sometimes/Never: 13; Usually: 27; Always: 60
Pain was well controlled - Sometimes/Never: 7; Usually: 25; Always: 68
Explained about medicines before giving it to them - Sometimes/Never: 17; Usually: 19; Always: 64
Clean room and bathroom - Sometimes/Never: 15; Usually: 23; Always: 62
Area around their room were quiet at night - Sometimes/Never: 16; Usually: 31; Always: 53
Provided recovery at home instructions - Yes: 87; No: 13
Hospital rating (O to 10; 10 highest) - 6 or lower: 8; 7 or 8: 24; 9 or 10: 68
YES, would recommend the hospital: 73
Number of completed Surveys: 300 or more

Patients who gave their hospital a rating of 9 or 10 on a scale: 68

Percentage of Patients who would recommend the hospital: Definitely Recommend: 73; Probably Recommend: 23; Not Recommend: 4

Surgery patients given the right antibiotic to prevent infection: NA

Patients treated at the right time within 24 hrs before or after: NA

Outpatients having surgery who got an antibiotic at the right time: NA

Outpatients having surgery who got the right kind of antibiotic: NA

SAINT JOSEPH MEDICAL CENTER

from: Medicare.govHospitalCompare_General

ProviderNumber: 210007 Title: SAINT JOSEPH MEDICA...

ProviderNumber: 210007

Title: SAINT JOSEPH MEDICAL CENTER

Address1: 7601 OSLER DRIVE

City: TOWSON

State Code: MD

Zip Code: 21204

County: BALTIMORE

Phone Number: 4103371200

Hospital Type: Acute Care Hospitals

Hospital Ownership: Voluntary non-profit - Church