To help prevent the recurrence of anorectal fistulas after fistulotomy, here are essential preventative steps recommended by Dr. Samrat Jankar, the best fistula surgeon in Pune:

1. Follow Postoperative Care Instructions Diligently: After a fistulotomy, it’s important to follow the postoperative care instructions given by your surgeon. This may include:

• Keeping the wound clean and dry
• Using sitz baths as advised to maintain hygiene and relieve discomfort
• Avoiding physical strain that could impact the healing area

1. Focus on a High-Fiber Diet: A high-fiber diet helps in preventing constipation, which is essential for postoperative recovery. Straining during bowel movements can put stress on the operated area and interfere with healing. Consuming foods rich in fiber, such as fruits, vegetables, and whole grains, along with staying well-hydrated, can help maintain smooth bowel movements.
2. Maintain Proper Hygiene: Good hygiene is vital in preventing infections that can trigger recurrence. This includes:

• Regular cleaning with gentle soap and water around the anus
• Avoiding harsh or perfumed products that could irritate the area
• Changing dressings as required to keep the wound site clean and dry

1. Use Prescribed Medications Wisely: Antibiotics or anti-inflammatory medications may be specified after the surgery to help lower the risk of infection and inflammation. Take these medications as directed and complete the full course to ensure the fistula heals properly.
2. Monitor for Early Signs of Recurrence: Regular follow-ups with Dr. Jankar and monitoring for any unusual symptoms, like persistent pain, discharge, or swelling, can help in detecting a recurrence early. If any signs arise, contact your doctor promptly to manage them before they worsen.
3. Consider Lifestyle Changes: Lowering risk factors can be helpful in preventing recurrence. Avoid sitting for long periods, as prolonged pressure on the anal area may delay healing. Staying active, managing weight, and avoiding smoking can also contribute to a lower risk of recurrence.
4. Regular Follow-Up Appointments: Regular check-ups with Dr. Samrat Jankar are important to monitor the healing process and detect any possible issues early on. These appointments help ensure that the fistula has healed correctly and that any complications are managed before they lead to recurrence.