Is HCPT Minimally Invasive Surgery for Fistulas Common in Taiwan? - Surgery

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The HCPT (Harmonic Scalpel for Transanal Endoscopic Microsurgery) procedure for treating anal fistulas?


I apologize, but I would like to ask a follow-up question regarding the HCPT minimally invasive surgery for anal fistulas.
Is it commonly performed in medical centers in Taiwan? Does it truly achieve benefits such as faster recovery, shorter hospital stays, quicker wound healing, no impact on normal anal function, reduced pain, and lower complication rates? Is it expensive? Thank you very much!

Chen Bingkun, 50~59 year old female. Ask Date: 2015/07/15

Dr. Cai Xingzhi reply Surgery


Hello, regarding fistula surgery, different hospitals have various approaches.
Currently, major hospitals offer various minimally invasive surgeries that primarily benefit patients by minimizing wound size and promoting faster recovery, unlike traditional surgeries which tend to have longer procedure times and slower wound healing.
However, the costs still vary based on the fees set by each hospital, so it is advisable to inquire directly with the hospital.

Reply Date: 2015/07/15

More Info


Minimally invasive surgery (MIS) techniques, including High-Intensity Focused Ultrasound (HIFU) and other advanced methods, have gained popularity in Taiwan for various medical conditions, including fistulas. The use of HCPT (High-Frequency Current Therapy) for treating anal fistulas is becoming more common in medical centers across Taiwan. This technique is appreciated for its potential benefits, which include faster recovery times, shorter hospital stays, reduced postoperative pain, and lower complication rates compared to traditional surgical methods.


Benefits of HCPT for Fistulas
1. Faster Recovery: One of the primary advantages of HCPT is that it often allows for quicker recovery. Patients typically experience less trauma to surrounding tissues, which can lead to a more rapid return to normal activities.

2. Shorter Hospital Stay: Many patients undergoing HCPT can be discharged on the same day or after a very short hospital stay, which is a significant improvement over traditional surgical methods that may require longer hospitalization.

3. Reduced Postoperative Pain: Since HCPT is minimally invasive, patients generally report less pain after the procedure. This can lead to a decreased need for pain management medications and a more comfortable recovery experience.

4. Preservation of Normal Function: One of the concerns with traditional fistula surgeries is the risk of damaging surrounding structures, which can affect normal anal function. HCPT aims to minimize this risk, preserving the integrity of the anal sphincter and reducing the likelihood of complications such as incontinence.

5. Lower Complication Rates: The minimally invasive nature of HCPT can lead to fewer complications, such as infections or significant bleeding, which are more common in traditional surgeries.


Considerations and Costs
While HCPT offers several advantages, it is essential to consider that it may not be suitable for all patients or all types of fistulas. The decision to use HCPT should be made in consultation with a qualified surgeon who can evaluate the specific case and determine the most appropriate treatment option.

Regarding costs, minimally invasive procedures like HCPT can sometimes be more expensive than traditional surgeries due to the advanced technology and techniques involved. However, the overall cost may be offset by the reduced need for extended hospital stays and postoperative care. Patients should discuss the financial aspects with their healthcare provider and insurance company to understand the coverage options available.


Conclusion
In summary, HCPT for fistulas is becoming increasingly common in Taiwan's medical centers, offering several benefits over traditional surgical methods. Patients can expect faster recovery, shorter hospital stays, and less postoperative discomfort, along with a lower risk of complications. However, it is crucial to have a thorough discussion with a healthcare professional to determine the best treatment approach based on individual circumstances. As with any medical procedure, weighing the benefits against potential risks and costs is essential for making an informed decision.

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