Update on anal fistulae: surgical perspectives for the gastroenterologist

Hidradenitis suppurativa Research


Author(s): Tabry H, Farrands PA

Anal fistulae are common and debilitating; they are characterized by severe pain and discharge. They arise following infection near the anal canal, or as a primary event from an abscess in the abdomen, fistulating into the vagina or perianal skin. The term ‘cryptoglandular’ is given to abscesses arising from the anal glands.For many years, the treatment of choice was to lay open the fistula; however, this risks causing incontinence with potentially devastating consequences. Alternative surgical treatments include setons, fibrin glue, collagen plugs and flaps to cover the internal fistula opening. These have achieved varying degrees of success, as will be discussed. The present review also discusses anal fistulae in light of much recently published literature. Currently, anal fistulae remain challenging and require specialist expertise; however, new treatment options are on the horizon.


Dermatology Journal and/or Publisher

Journal Name: Canadian journal of gastroenterology = Journal canadien de gastroenterologie
Journal Abbreviation: Can. J. Gastroenterol.
Journal Date Published: 2011-12-16


National Center for Biotechnology Information

PMID: 22175058
Article Source: http://www.ncbi.nlm.nih.gov/pubmed/22175058
Lasted Revision: 2017-02-20


Abstract Source: National Center for Biotechnology Information, U.S. National Library of Medicine Abstract Query for Hidradenitis suppurativa (HS).


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