Abstract
Fistula in ano -: It is a complete tract with two openings in anorectal region, one in the external surface, second in the anal canal or in higher anatomical structures1. Fistula in ano commonly develops as a symptomatic or asymptomatic abscess due to cryptoglandular infection; treatment depends upon the location of the anatomy or tract of the fistula.
General principle for management of Fistula in ano-Irrigation of the whole fistulous tract, part of the fistulous track which is opened outside should be excised, obliteration of the internal opening is the key of success, excised tract should be send for histopathological investigation to rule out other pathology e.g Tuberculosis.
References
2- MEINERO P, MORI L. VIDEO-ASSISTED ANAL FISTULA TREATMENT (VAAFT): A NOVEL SPHINCTER-SAVING PROCEDURE FOR TREATING COMPLEX ANAL FISTULAS. TECH COLOPROCTOL. 2011;15:417–22. [PMC FREE ARTICLE] [PUBMED].
3- 3.SRB’S MANUAL OF SURGERY,CHAPTER 25 RECTUM AND ANAL CANAL PAGE 3RD EDITION JAYPEE BROTHEER PUBLISHERS 2009
4-MEINERO P, MORI L. VIDEO-ASSISTED ANAL FISTULA TREATMENT (VAAFT): A NOVEL SPHINCTER-SAVING PROCEDURE FOR TREATING COMPLEX ANAL FISTULAS. TECH COLOPROCTOL. 2011;15:417–22. [PMC FREE ARTICLE] [PUBMED].
5-S DAS ,A TEXT BOOK OF SURGERY,THE RECTUM AND ANAL CANALPAGE 3rd EDITION 2001.
6-MEINERO P, MORI L. VIDEO-ASSISTED ANAL FISTULA TREATMENT (VAAFT): A NOVEL SPHINCTER-SAVING PROCEDURE FOR TREATING COMPLEX ANAL FISTULAS. TECH COLOPROCTOL. 2011;15:417–22. [PMC FREE ARTICLE] [PUBMED].
7- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3226694/ 21/6/18
8- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5421740/ 21/6/18
9- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5421740/ 21/6/18
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