Anal fistula surgery: Difference between revisions
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(/* Various methods of surgery are:{{cite journal |vauthors=Williams JG, Farrands PA, Williams AB, Taylor BA, Lunniss PJ, Sagar PM, Varma JS, George BD |title=The treatment of anal fistula: ACPGBI position statement |journal=Colorectal Dis |volume=9 Sup...) |
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*According to the '''American Society of Colon and Rectal Surgeons''', the goal of treatment of anal fistula is to obliterate the internal fistulous opening and any associated epithelialized tracks with minimal sphincter division. Thus, it is important to identify the internal opening and the course of all tracts relative to the sphincter muscles. | *According to the '''American Society of Colon and Rectal Surgeons''', the goal of treatment of anal fistula is to obliterate the internal fistulous opening and any associated epithelialized tracks with minimal sphincter division. Thus, it is important to identify the internal opening and the course of all tracts relative to the sphincter muscles. | ||
'''Various methods of surgery are''':<ref name="pmid17880382">{{cite journal |vauthors=Williams JG, Farrands PA, Williams AB, Taylor BA, Lunniss PJ, Sagar PM, Varma JS, George BD |title=The treatment of anal fistula: ACPGBI position statement |journal=Colorectal Dis |volume=9 Suppl 4 |issue= |pages=18–50 |year=2007 |pmid=17880382 |doi=10.1111/j.1463-1318.2007.01372.x |url=}}</ref> | |||
*'''Fistulotomy''': It is used to treat simple anal fistula with normal anatomy and no other complication. | *'''Fistulotomy''': It is used to treat simple anal fistula with normal anatomy and no other complication. | ||
*'''Seton''': First step in treating a complex fistula, placement of draining seton. | *'''Seton''': First step in treating a complex fistula, placement of draining seton. | ||
Revision as of 22:51, 30 January 2018
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Anal fistula Microchapters |
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Diagnosis |
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Treatment |
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Anal fistula surgery On the Web |
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American Roentgen Ray Society Images of Anal fistula surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Manpreet Kaur, MD [2]
Overview
Surgery
- Mainstay of treatment of anal fistula is surgical treatment.
- According to British Medical Journal, the principles for the management of anal fistula are described by the acronym SNAP, which stands for sepsis, nutrition, anatomy, and procedure.
- Treatment of sepsis is the first step.
- Nutrition is very important for the healing of fistula.
- Patients should be healthy during the treatment of anal fistula.
- In malnourished patients and patients with comorbidities, fistula heals slowly.
- Anatomy of fistula should be tracked before starting the treatment. Failure to track the secondary fistula leads to failure of treatment.
- Selection of the appropriate procedure is key to successful management.
- According to the American Society of Colon and Rectal Surgeons, the goal of treatment of anal fistula is to obliterate the internal fistulous opening and any associated epithelialized tracks with minimal sphincter division. Thus, it is important to identify the internal opening and the course of all tracts relative to the sphincter muscles.
Various methods of surgery are:[1]
- Fistulotomy: It is used to treat simple anal fistula with normal anatomy and no other complication.
- Seton: First step in treating a complex fistula, placement of draining seton.
References
- ↑ Williams JG, Farrands PA, Williams AB, Taylor BA, Lunniss PJ, Sagar PM, Varma JS, George BD (2007). "The treatment of anal fistula: ACPGBI position statement". Colorectal Dis. 9 Suppl 4: 18–50. doi:10.1111/j.1463-1318.2007.01372.x. PMID 17880382.