I feel not good. Before surgery(2 weeks ago), the surgeon said he will clear all my fistulas and put seton stitch in each fistula to help drainage in order to prevent further abscess formed. Thus, I have nothing to worry about. But after surgery, he said the thing is very bad, the fistula's level is very very high. He failed to locate the internal hole of the fistula and he had to drain the abscess and put a tube to help drain. The ibd nurse said in my above picture, it is a tube, not seton stitch(since the surgeon failed to locate the internal hole, he did not put seton as original planned). The tube is scheduled to be removed in 2 weeks, but it is sometimes dropped out in advanced. It is quite normal, and I have nothing to worry about.
I still feel very very sad. The surgeon said he drained my abscess and he hope the remicade could heal my high level fistula. But what if it is not? What should I do if Remicade does not work on me or not as good as to heal the fistula? Is there any way to control the high level fistula? The following is part of surgeon's operation.
EXAMINATION UNDER ANAESTHESIA AND INCISION AND DRAINAGE OF PERIANAL ABSCESS WHO, GA, IV ABX, RIGID SIGMOIDOSCOPE
RADIAL INCISION OVER RED FLUCTUANT AREA - PUS SAMPLED FOR M, C + S
LOCULES BROKEN DOWN (SUPERFICIAL) BUT CLEAR CAVITY EXTENDING CEPHALAD BEYOND EXTENT OF DIGIT
CAVITY PROBED WITH LOCKARDT MUMMERY PROBE AND ALTHOUGH PUS SEEN IN RECTUM, COMING FROM PROXIMAL TO EXTENT OF EISENHAMMER (AND VIEW ON RIGID SIG LIMITED BY BLOOD AND MUCUS)
THIS CAVITY SEEMED JUST OUTSIDE RECTUM AND LIKELY IN INTERSPHINCTERIC PLANE
H2O2 IRRIGATION AND NACL IRRIGATION, HAEMOSTASIS
PENROSE DRAIN TO CAVITY (SILK SUTURE X3) AND PACKED WITH RIBBON KALTOSTAT
PERINEAL SINUS PROBED AND SHOWN TO EXTEND TOWARDS RIGHT GROIN (VERY SUPERFICIAL AND BLIND ENDING) - LAID OPEN, WASHED (NACL) AND KALTOSTAT LAID ON OPEN WOUND - BIOPSY TAKEN
PERIANAL ABSCESS MOST FLUCTUANT AT 3 O'CLOCK - CAVITY EXTENDING CEPHALAD BEYOND EXTENT OF DIGIT AND LIKELY IN INTERSPHINCTERIC PLANE
FISTULA BUT INTERNAL OPENING NOT FORMALLY IDENTIFIED THUS FALSE OPENING NOT CREATED
PERINEAL SINUS - BLIND ENDING ? CROHNS OR HIDRADENITIS
SPECIMENS SAMPLED - PUS FOR M, C + S (ABSCESS), TISSUE FOR HISTOLOGY (PERINEUM) EAT AND DRINK ONCE AWAKE
DVT PROPHYLAXIS TONIGHT
CONTINUE IV ANTIBIOTICS
CHASE M, C + S AND HISTOLOGY
ANALGESIA
