Complex Anal Fistula medical Case study

Video of Doctor Khaldoun explaining about a complex anal fistula

Patient

M. P. He works as a teacher, he is 35 years old

Doctor

Dr. Khaldoun Al Gharib – January 2019

Treatment

Laser and endoscopic VAAFT treatment

Disease

Complex Anal Fistula

حالة يتم فيها علاج ناسور شرجي معقب بالمنظار VAAFT Complex Anal Fistula

Doctor Khaldoun during using the endoscope used to treat the complex anal fistula.

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Symptoms

Complex anal fistula symptoms

The patient experienced a period of pain and observed a smell as well and noticed a inflammation, he noticed a dirt gathered in the underwear but did not understand the cause of it, especially that it appeared in an unexpected place.

The patient feel uncomfortable but he ignored it, although the patient did not consult with a doctor for several weeks.

In other words, the patient did not realize that it is a symptoms for a fistulas of a complex type, and if that fistula kept in an untreated condition may develop into long and complex and may complicate and become difficult to treat, and treatment may cause other damage.

Persistent symptoms of complex fistula

The patient followed his life despite his discomfort with the symptoms, and the patient reviewed a doctor in his small city of residence who turned him into a surgeon in Baghdad, the surgeon is an expert in traditional surgery to treat this disease.
Therefore, the doctor told the patient that one of the results of the treatment may cause injury to the muscle that controls the gases (fart) and faeces (shit), and may lose control of them and may last several months or even it could stay throughout life.

Suffering

Contacting Proctologist

The patient saw a detailed video of Dr. Khaldoun on YouTube where Dr. Khaldoun’s was explaining fistula treatment and a number of posts on the TikTok page.
After that, the patient reached out to Dr. Khaldoun’s Ghareb secretaria via WhatsApp. The patient also sent photos and medical analyses via WhatsApp and explained his case in very detailed written text.
Dr. Khaldoun contacted him and told him that his condition was highly treatable. All of that happened before the patient booking his trip to Dubai.

Treatment technology

The patient came to the clinic in person, after direct checking; Dr. Khaldoun told the patient that the use of laparoscopic therapy technique is possible in his case, and no need for traditional surgery, so only.
المنظار فافت VAAFT يعرض صور من داخل الناسور الممتد ل ١٤سم Complex Anal Fistula
Monitor the periscope images from the screen, where the fistula is cleaned before it closes
المنظار VAAFT يستخدم للدخول إلى الناسور وهو فتحة صغيرة بجانب فتحة الشرج Complex Anal Fistula
Preparation for insertion of the VAAFT binoculars into the fistula (a new aperture next to the anus already exist)
استخدام المنظار لتأكيد اتمام علاج حالة الناسور المعقد complex anal fistula Complex Anal Fistula

using the give the ability to ensure the complete cleaning of the complex anal fistula

Treatment

Complex anal fistula treatment

Dr. Khaldun’s strange 3D EndOANAL ULTRASOUND examination is an in-clinic examination that gives an accurate result that helps determine the most appropriate treatment method and determines whether the fistula has any branches or other internal pathways.

In addition, 3D EndOANAL ULTRASOUND examination result identified fistula from complex classification with the following specifications:

  • 14cm fistula
  • Complex fistula passes through the muscle controlled in adjusting and stopping the output of stool and mastiff

Latest fistula treatments

Dr. Khaldoun’s endoscopic therapy enters the periscope from the outer aperture of the fistula until the inner aperture, closes the inner aperture first, and then injects biological material into the fistula until the outer aperture that also closes.

Biological substances are prepared from the patient’s own blood to avoid any side symptoms, whereby a “gel” is prepared and fistula is packaged.

The fistula of those who want to know more emerges as a new opening on the tip of the spectrum (backside) and extends inside the body until reaching the rectum where all the waste (other) is poured, and thus some of the waste and odors emerge from this small hole, and this course in this case was 14cm long. For more about fistula click this link.

Result

Complex endoscopic fistula treatment has been successful After 3 and 6 months of follow-up This complex condition has been fully cured.

Patient opinion

The patient sent a bunch of roses to Dr. Khaldoun to thank him

Complex Anal Fistula image

Fistulas Symptoms, Causes, Diagnosis, Risks, Treatment & Abscesses

Picture showing the types of anal fistula including complex anal fistula