10. Surgical Intervention

If the fistula is large or does not respond to less invasive treatments, it will require surgical removal or repair. Where possible, surgeons will use laparoscopic methods, inserting cameras and tools through very small incisions. However, some fistulas require transabdominal surgery involving larger incisions in the abdominal wall. In some cases, a fistula may develop in a diseased part of the bowel. Doctors may resection the bowel and remove the diseased section, including the fistula. In this situation, the person may require a pouch after surgery. This will temporarily divert stool away from the resectioned area to give it time to properly heal.

surgical fistula

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