Anal fistula surgery
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Anal Fistula Management And Treatment
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Anal fistula repair
This is associated with minimal pain and you can still have normal bowel function with a seton in place. The routine addition of antibiotics to surgical drainage does not improve healing time or reduce the potential for recurrences in uncomplicated abscesses. The plug also has the advantage of not requiring division of the sphincter muscle. Occasionally, bacteria, fecal material or foreign matter can clog an anal gland and tunnel into the tissue around the anus or rectum, where it may then collect in a cavity called an abscess. The fistula is the tunnel that forms under the skin and connects the clogged infected glands to an abscess. These classifications are important in helping the surgeon make treatment decisions. As mentioned above, if a significant amount of sphincter musculature is involved in the fistula tract, a fistulotomy may not be recommended as the initial procedure. Normal anatomy includes small glands just inside the anus. Today, both traditional two-dimensional and three-dimensional endoanal ultrasound are a very effective manner of diagnosing a deep perirectal abscess, identifying a horseshoe extension of the abscess, and delineating the path of a fistula tract. Occasionally, additional studies can assist with the diagnosis or delineation of the fistula tunnel. Common findings leading to the diagnosis of a perirectal abscess are fever, redness, swelling and tenderness to palpation. Your surgeon may recommend the initial placement of a draining seton. Once all the inflammation has resolved, and a mature tract has formed, one may consider all the various surgical options detailed above as staged procedures.
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