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Intersphincteric fistula in the lower anal canal. Ultrasound image where the fistula is labeled with a letter F. Diagnosis is by examination, either in an outpatient setting or under anaesthesia (referred to as EUA or Examination Under Anaesthesia). The fistula may be explored by using a fistula probe (a narrow instrument).
LIFT technique is the novel modified approach through the intersphincteric plane for the treatment of fistula-in-ano, known as LIFT (ligation of intersphincteric fistula tract) procedure. LIFT procedure is based on secure closure of the internal opening and removal of infected cryptoglandular tissue through the intersphincteric approach.
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]
In anatomy, a fistula (pl.: fistulas or fistulae /-l i,-l aɪ /; from Latin fistula, "tube, pipe") is an abnormal connection (i.e. tube) joining two hollow spaces (technically, two epithelialized surfaces), such as blood vessels, intestines, or other hollow organs to each other, often resulting in an abnormal flow of fluid from one space to the other.
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.
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The hospice business has undergone a dramatic transformation over the past decade, from a collection of small religious-affiliated entities into a booming mega industry dominated by companies seeking to reap big profits from the business of dying.
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.