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Re-routing of the track for the treatment of high anal and anorectal fistulae

✍ Scribed by Mr. C. V. Mann; M. A. Clifton

Publisher
John Wiley and Sons
Year
1985
Tongue
English
Weight
466 KB
Volume
72
Category
Article
ISSN
0007-1323

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✦ Synopsis

Abstract
A transposition technique for the management of high anal and anorectal fistulae is described. The method involves re-routing the extrasphincteric portion of the track into an intersphincteric position with immediate repair of the external sphincter. The newly positioned intersphincteric fistula is then dealt with at a later date when the external sphincter is soundly healed. In this way the number of operations needed to deal with such a fistula may be reduced, a colostomy is not necessary, healing is more rapid and continence is preserved. Details of the first five cases dealt with in this way and their successful outcome are reported.

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Abstract The technique of sliding flap advancement for the treatment of high anal fistulae is described. The technique is not suitable for cases with an acute abscess and is reserved for patients with a well-established chronic fistula track. Thirty patients with anal fistulae were treated by slidin