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Additional ligation of the intersphincteric fistula tract did not improve the outcome after endorectal advancement flap. [15] Fistula clip closure (OTSC Proctology) is a recent surgical development, which involves the closure of the internal fistula opening with a superelastic clip made of nitinol (OTSC). During surgery, the fistula tract is ...
In 1993 Matos et al. described a technique of total anal sphincter preservation in high fistula in ano, which is based on the concept of excision of intersphincteric anal gland infection through the intersphincteric approach. [3] This novel technique was also documented in Corman’s textbook of colon and rectal surgery. [4]
The perianal injection route (intersphincteric or transsphincteric) gives better results than the transanal route according to one review. [3] Submucosal implant location may have a higher risk of erosion and sepsis. [10]
Lateral internal sphincterotomy is the preferred method of surgery for persons with chronic anal fissures, and is generally used when medical therapy has failed. [1] It is associated with a lower rate of side effects than older techniques such as posterior internal sphincterotomy and anoplasty, [3] and has also been shown to be superior to topical glyceryl trinitrate (GTN 0.2% ointment) in ...
A hysterotomy is performed on the pregnant woman, and once the uterus is open and the fetus is exposed, the fetal surgery begins. Typically, this surgery consists of an interim procedure intended to allow the fetus to remain in utero until it has matured enough to survive delivery and neonatal surgical procedures.
Anorectal abscess (also known as an anal/rectal abscess or perianal/perirectal abscess) is an abscess adjacent to the anus. [1] Most cases of perianal abscesses are sporadic, though there are certain situations which elevate the risk for developing the disease, such as diabetes mellitus, Crohn's disease, chronic corticosteroid treatment and others.
Anal glands drain into anal crypts via anal ducts. Note also intersphincteric plane where some of these glands are located. The human anal glands are situated within the wall of the anal canal [10] and communicate with the lumen of the canal via ducts that open at the anal valves, just proximal to the pectinate line.
Before the person undergoes surgery, treatment and evaluation are needed for conditions including anemia, malnutrition, and malaria. Quality treatment in low-resource settings are possible (as in the cases of Nigeria and Ethiopia). [16] Treatment is available through reconstructive surgery. [53] Primary fistula repair has a 91% success rate. [46]