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Anal fistulas are caused by an infection of the anal glands - a small tunnel/tract forms between the end of the bowel and the skin next to the anus. Bacteria can cause a collection of abscesses to form when the pus from these drains away, a small channel is left behind.
Anal Fistula Surgery is often performed under general anesthetic and can take up to 30 mins. Depending on where the fistula is, the surgeon will determine how to approach the surgery - surgery may be performed over a few separate operations to reduce the risk of infection when passing bowel movements.
Depending on the severity of the fistula, the surgical technique used, the surgeon's training and expertise, and the amenities provided by the clinic of choice, the cost of Anal Fistula Surgery in Dominican Republic varies. Making an informed decision requires having a thorough awareness of all associated costs. For example, the costs can include consultation fees, costs for diagnostic testing, costs for surgery, hospitalisation fees, and expenditures for post-operative care.
The specifics of your health insurance policy would determine if Anal Fistula Surgery was covered by insurance. It might be wise to get in touch with your insurance company for precise details on coverage and out-of-pocket expenses.
There are several different procedures to treat an anal fistula and the surgery will be performed by a colon or rectal surgeon. The goal of the surgery is to heal the fistula while avoiding damage to the sphincter muscles, which could result in loss of bowel control. Your surgeon will discuss the best option suitable for you. It usually depends on where the fistula is and whether it is a single channel or branches off in different directions. To help determine the best treatment for you, you may need to have an initial examination of the area. Anal fistula surgery is performed under local or general anesthetic.
After the surgery, you should be able to go home on the same day or you will need to stay in the hospital for one night. However, you may need to stay in Dominican Republic for 10 to 14 days, because you will need to allow some time for the initial recovery and to attend follow-up checkups. This period is critical for monitoring your recovery, ensuring that the wound is healing correctly, and addressing any potential complications at the earliest.
The recovery period may vary from patient to patient. Although superficial anal fistula can heal faster, it still will take several months for a full recovery. Within one or two hours after the surgery, your surgeon will encourage you to get up and walk around. However, you will need to rest for the first 10 days and walk as little as possible to help the wound to heal.
Expect to pass feces within one to three days, which may feel uncomfortable at first and a small amount of bleeding is possible. You can take a painkiller around 20 minutes before going to the toilet to help with the uncomfortable feeling. The wounds should heal within six weeks. You may get back to work after 2 weeks when you feel comfortable enough.
Your surgeon will likely give you advice and post-operative instructions. You will need to make sure that you follow the instructions strictly for a quicker recovery. You must keep the wound clean and dry so it can heal well. If your wound is bleeding, you can use a dressing or gauze pad over the wound. It might be helpful for you to use a sanitary pad to protect your clothes.
To help ease the pain and keep your wound clean, you will be advised to have warm baths each day. However, do not add anything to the bathwater to avoid irritating the wound. Your surgeon may prescribe laxative medicine to help keep your stool soft so that it is less painful for you to go to the toilet.
The success rate of anal fistula surgery is extremely high, with many patients experiencing complete relief from symptoms and a significantly enhanced quality of life after the surgical intervention. However, the exact rate may differ based on the surgical method employed and the complexity of the fistula. Though the treatment aims at healing the fistula completely and maintaining normal sphincter function, recurrences are possible in some cases. Regular follow-ups and appropriate aftercare can significantly minimize the chances of recurrence.
Alternatives to Anal Fistula Surgery could be considered, depending on the nature of the fistula and the patient's overall health condition. The decision to opt for an alternative treatment would primarily be based on the surgeon's professional assessment.
Note that an anal fistula cannot be treated without surgery because only very few anal fistulas heal by themselves. Without surgery, the symptoms may get worse. The only non-surgical option to treat anal fistula is fibrin glue, the surgeon injects special glue into the fistula. The glue helps seal the fistula and encourages it to heal.
Your surgeon will give you thorough information about the surgical procedure, its risks, rewards, and possible alternatives before the Anal Fistula Surgery. They might also provide you advice on how to take your meds and food. To determine whether you are surgically fit and to better understand the details of the fistula, some tests may be carried out.
You should anticipate some discomfort and soreness following the surgery, which can be adequately treated with recommended drugs. An immediate postoperative evaluation will be done, and recommendations for medication use, food, and wound care will be given. A follow-up appointment will be set on a regular basis to check on your development and resolve any issues. The success of the Anal Fistula Surgery can be considerably improved, and recovery can go more quickly, with optimal participation in the aftercare plan.
Some of the risks for anal fistula surgery are:
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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The Dominican Republic can be found on the island of Hispaniola and is a part of the island group, the Great Antilles. The nation has diverse natural environments and land features. Characterized by rugged mountains on one side and the other side consist of low lying valleys and coastal plains. It is the world’s leading producer of professional baseball players. It is also home to the highest mountain, Pico Duarte, and the largest lake, Lago Enriquillo in the Caribbean Region.
In recent times, the Dominican Republic has become popular with medical tourists. Tourists, particularly from the United States, visit the country for Plastic and Reconstructive surgeries, especially for Breast Augmentation procedure. About 25,000 to 30,000 patients visit the Dominican Republic yearly for various medical treatments. The most sought-after services are general, Plastic and cosmetic surgeries, dental procedures, weight-loss, oncology, and orthopedic treatments.
Most medical service providers are situated around the capital city Santa Domingo and Santiago. The medical establishments offer competitive healthcare services with highly-qualified and internationally-trained surgeons. The following clinics can be found in Santa Domingo: Dr. Rafael E. Estevez - Plastic, Reconstructive, and Aesthetic Surgeon, Dr. Gustavo Almanzar Plastic Surgery Clinic, Alba Reyes Skin, and Hair Transplant Institute and Dr. Ivan Strachan Bariatric Clinic.
The Dominican Republic is an unmatched destination with amazing natural sceneries, intriguing history, and diverse culture. It offers ecotourism adventures in splendid national parks, mountain ranges, beaches, and rivers.
Top attractions of the Dominican Republic:
Jarabacoa, Sosua, La Romana, Las Aguilas, and Puerto Plata & Playa Dorada are several other popular tourist spots in the Dominican Republic.
The Dominican Republic has a tropical weather climate, and constant temperature throughout the year, with average yearly temperature, is around 77°F.
The hottest and humid period is from May to October. The mild winter season is from December to March. The period between November and April are the moderate seasons.
Rainfall is seasonal. The eastern and southern coasts experience rains between April and October. The northern coast receives rains throughout the year due to the influence of the north-eastern trade winds. The southern region is prone to hurricanes, with most striking in the months of August and September.
The Dominican Republic offers easy access to the rest of the world with a myriad of flight options from North America and Europe. The main ports of entry into the country by air are the international airports in Santa Domingo, Punta Cana, and Puerto Plata. Santiago and Samana airports are other points of entry.
There are many flights from major cities of Canada and the US. The most frequent flights are from New York, Miami, Toronto, and Montreal. JetBlue, the budget airlines, operates flights from North America to Santo Domingo, Santiago, and Puerto Plata.
The Dominican Republic has a well-developed inter-country transport infrastructure with a large network of roads. It has many types of public transportation for moving around within cities such as buses, the metro, carro publicos, guaguas, and the motoconchos.
Carro Publicos are small car-public taxis and have a specific route displayed on their roof. Guaguas are privately-owned minivans and pick up travelers from any point and drop them off close to their desired location. Motoconchos are private motorcycle taxis that have reasonable fares and are ideal for short journeys.
Citizens of countries such as the UK, USA, and Canada, and Schengen countries are not required to have a tourist visa to enter the Dominican Republic, under a bilateral agreement between the countries. However, they do need to:
Nationals of countries like India, Sri Lanka, China, and Russia need to get a tourist visa to travel to the Dominican Republic. The visas are multiple-entry type and are valid for 60 days.