Also known as anorectal fistula, a fistula in anus occurs spontaneously as a hollow cavity lined with granulation tissue. Cryptoglandular infections leading to perirectal abscesses are considered as the predominant cause of anorectal fistula. The resultant is an abnormal communication between the perianal skin and the anus. Anorectal fistulas can significantly affect the quality of life of an individual.
For patients experiencing recurrent anorectal sepsis, therapeutic intervention is prescribed. Open fistulotomy is done for intersphincteric, low transsphincteric and primary submucosal fistulas. Seton placement is a technique that is combined with fistulotomy. For patients with chronic high fistula a mucosal advancement flap is done. Careful Surgical intervention is needed for Crohn s disease of the perineum associated with complex and multiple fistulas.
We are pioneers in intricate surgeries such as the fistula in the anus.Authored by Dr. Deepak Varma, MBBS, MS (General Surgery)
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