Anal abscesses and fistulas.

Abstract:

:Anal abscesses and fistulas are a common part of surgical practice. Most abscesses simply need to be drained and most fistulas can be safely laid open. Excessive probing should not be attempted when draining abscesses as this may lead to iatrogenic fistulas. A small percentage of fistulas are complex and very challenging to manage. Management involves an accurate diagnosis and a balance between eradication of the fistula and maintenance of continence. A decision should be made, based on clinical evaluation and anal ultrasound (if available), whether the fistula can be laid open. If it cannot be laid open, a loose seton is placed and the sepsis is allowed to settle. Once the sepsis is quiescent, a definitive repair can be attempted. There are various techniques available including rectal advancement flap, fibrin glue and cutaneous flaps all of which are discussed.

journal_name

ANZ J Surg

journal_title

ANZ journal of surgery

authors

Rickard MJ

doi

10.1111/j.1445-2197.2005.03280.x

keywords:

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

64-72

issue

1-2

eissn

1445-1433

issn

1445-2197

pii

ANS3280

journal_volume

75

pub_type

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