Anal fistulas are painful. Being the chief royal surgeon meant holding the supreme surgical position in the country Surgical treatment of perianal fistulas can be a multi-step process. Please help to improve this article by introducing more precise citations. You may need to see a specialist for further exams.
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Why do we have so much trouble treating anal fistula?

First, we try to disclose the anatomy and complexity of the fistula by palpating the fistulous tracks to assess their number, extent and depth. The inside opening of the fistula is sewn shut. If the anal canal is adequate and the fistulae are superficial, one can lay open all the synchronous fistulae without major risk of incontinence. Diagnosis and management of Crohn's disease. First, if failure of probing was due to the presence of kinks in the track, all such kinks are straightened and this, by itself, can make probing possible. Author information Article notes Copyright and License information Disclaimer. In essence, the price of preservation of continence at all cost is multiple and often different operations, prolonged disability and disappointment for the patient and the surgeon.
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What is a Fistula? |

Fistulas can be very complicated to treat. Fistulas between 2 loops of the intestine may not cause any symptoms. What are the benefits of surgery? An anal fistula can cause continued infection and pain. Staged mucosal advancement flap for the treatment of complex anal fistulas: By keeping the fistula open, it can drain and the infection can be treated with medication. Evaluation of perianal fistulas in patients with Crohn's disease.
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They can even be missed at operation or may be considered to be a branch of the original fistula. Medical literature dating back to BC has discussed this problem. Around half of cases of anal fissures heal by themselves with proper self-care and avoidance of constipation. Anal fistula plug; FS: The treatment of anal fistula has challenged physicians and healers for millennia. The flap should extend 3 to 4 cm proximal from the internal opening, and be trapezoidal in nature, with the base wider than the apex to allow adequate blood supply.
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What is an anal fistula

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