Fistulotomy is a surgical procedure used to treat anal fistulas, which are abnormal tunnels between the anus or rectum and the skin surrounding the anus. The surgery involves cutting open the fistula tract to allow it to heal from the inside out. In some cases, the surgeon may remove the fistula tract entirely if necessary.

The procedure can be performed under general or local anesthesia, depending on the complexity of the fistula. Postoperative care includes pain management, maintaining hygiene, and preventing infection. Patients are also advised to avoid sitting for long periods to minimize pressure on the surgical site.

In some cases, a drain may be placed to prevent infection or fluid buildup. Follow-up appointments are important to monitor healing and detect any complications or recurrence of the fistula.

Fistulotomy is an effective treatment for anal fistulas, offering a high success rate and significant relief from symptoms. With proper care, the condition can be fully resolved in many patients.