Complicated anal fistula

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An anal fistula is a tunnel that runs from inside the anus-- the hole your body uses to get rid of solid waste -- to somewhere in the skin around it. Anal fistula is a chronic abnormal communication between the epithelialised surface of the anal canal and usually the perianal skin. An anal fistula can be described as a narrow tunnel with its internal opening in the anal canal and its external opening in the skin near the anus. Anal fistulae commonly occur in people with a history of anal abscesses. Your specialist may also recommend using a variety of treatment approaches, particularly if your fistula is a complicated case. An anal fistula is a non-natural channel that forms between the anal canal and the skin around the anus, often related to an abscess. It can be painful or irritating, and treating it requires a surgical approach. Treatment of complicated anal fistula by an endofistular polyurethane-sponge vacuum therapy a pilot study. Schniewind b(1), schafmayer c(2), von schönfels w(2), heits ng(2), kucharzik t(3), klein g(1), hampe j(4). Author information (1)department of general, visceral and thoracic surgery, staedtisches krankenhaus (community hospital) lueneburg, lueneburg, germany. An anal fistula is defined as a small tunnel with an internal opening in the anal canal and an external opening in the skin near the anus. Anal fistulas form when an anal abscess, thats drained, doesnt heal completely. Different types of anal fistulas are classified by their location. In order of most common to least common, the various types include intersphincteric fistula. A perianal fistula (fistula-in-ano) refers to an abnormal connection between the anal canal and the perianal skin. The majority are associated with anorectal abscess formation, with one third of patients with an anorectal abscess having an associated perianal fistula at the time of presentation. The formation of an perianal fistula typically occurs as a consequence of an perianal. After having surgery to remove an anal fistula, you should be able to move around and eat and drink after the effects of the anaesthetic painkilling medication have worn off. If the fistula is relatively simple to operate on, you may be able to go home on the same day as the surgery. However, if the fistula is complicated, you may need to stay in. Context the management of complicated anal fistula is a serious issue in coloproctology. Various methods have been described but the choice must be made based on the course of the fistula tract.

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