Anal fistula is among the most common illnesses affecting man. Medical literature dating back to BC has discussed this problem. Various causative factors have been proposed throughout the centuries, but it appears that the majority of fistulas unrelated to specific causes e. The tubular structure of an anal fistula easily yields itself to division or unroofing fistulotomy or excision fistulectomy in most cases. The problem with this single, yet effective, treatment plan is that depending on the thickness of sphincter muscle the fistula transgresses, the patient will have varying degrees of fecal incontinence from minor to total.
Dermal Flap Coverage for Chronic Anal Fissure: Lower Inciden : Diseases of the Colon & Rectum
This book provides a concise yet comprehensive summary of the current status of the field that guides patient management and stimulate investigative efforts. It is an easy reference for day-to-day anorectal pathology. The text reviews new testing procedures for anorectal diseases and provides new treatment options about anorectal disease both benign and malignant. All chapters are written by experts in their fields and include the most up-to-date scientific and clinical information. The text includes highly practical presentations of typical patients seen in the clinical practice of proctology in the form of case presentations with expert analysis and commentary. Example cases would include common but challenging cases such as an anal tumor, chronic anal pain and anal discharge.
Anal fistula plug vs mucosa advancement flap in complex fistula-in-ano: A meta-analysis
Study record managers: refer to the Data Element Definitions if submitting registration or results information. Group I: Conventional Lateral internal sphincterotomy:. LIS was performed in the lithotomy position by a standard open technique, briefly; a 5-mm incision was made into the perianal skin along the intersphinteric groove.
The inner lining of the anal canal is the mucosa. Most anal cancers start from cells in the mucosa. Glands and ducts tubes leading from the glands are found under the mucosa. The glands make mucus, which acts as a lubricating fluid.