Get Anal Fistula: Principles and Management PDF

By Richard L. Nelson M.D., F.A.C.S., Herand Abcarian M.D., F.A.C.S. (auth.), Herand Abcarian (eds.)

ISBN-10: 1461490138

ISBN-13: 9781461490135

ISBN-10: 1461490146

ISBN-13: 9781461490142

Anal Fistula: ideas and administration provides a finished and state-of-the-art assessment of significant concerns particular and on the topic of the remedy of anal fistulas. a tremendous component of the publication covers the big variety of substitute systems which were constructed within the final 20 years. take into account that, none of those systems were uniformly profitable, differently there will be no use for all of the assorted operations. The e-book addresses every one substitute process, discusses the advantages of every one method, contains the main up to date effects. different vital chapters hide the motives and failure of remedy and operations for fistulas. additionally integrated is a Cochrane evaluate of all on hand randomized managed trials with degrees of facts culled from the literature.

Written by way of experts of their respective fields, Anal Fistula: ideas and Management fills a void in to be had texts on a subject very mostly encountered through surgeons, physicians and experts. ​ ​​

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Extra resources for Anal Fistula: Principles and Management

Sample text

2. Assessment of the complexity of fistula including clinical classification and the thickness of sphincter muscle involved. This is much harder than simple identification of the tract because it takes experience and judgment to decide which fistula is easily amenable to fistulotomy and which requires sphincter-sparing procedure. As Phillip suggests, it is more important to know how much sphincter will be left behind rather how much will be divided during fistulotomy (see Chap. 9). Reducing this to its simple form, it is 5 Clinical Assessment of Anal Fistulas important for the surgeon to be sure whether the fistula is high or low and if the surgeon is inexperienced, unsure, or does not treat anal fistulas on regular basis, it is better to insert a loose marking seton (braided suture or vessel loop) in the tract and refer the patient to a specialist [3].

28. Gage KL, Deshmukh S, Macura KJ, et al. MRI of perianal fistulas: bridging the radiological-surgical divide. Abdom Imag. 2012;38(5):1033–42. 29. Buchanan GN, Williams AM, Bartram CI, et al. Potential clinical implications of directions of a trans-sphincteric anal fistula track. Br J Surg. 2003;90(10):1250–5. 30. Pomerri F, Dodi G, Pintacuda G, Amadio L, Muzzio PC. Anal endosonography and fistulography for fistula-in-ano. Radiol Med. 2010;115(5):771–83. 31. Ortiz H, Marzo J, Jiménez G, DeMiguel M.

4. Kuipers HC, Shulpen TM. Fistulography for fistula-in-ano. Is it useful? Dis Colon Rectum. 1985;28(2):103–4. 6 Clinical Assessment and Imaging Modalities of Fistula in Ano Kyle G. Cologne, Juan Antonio Villanueva-Herrero, Enrique Montaño-Torres, and Adrian E. Ortega Introduction Fistula disease is a frequent consequence of anorectal abscess. Up to 50 % of patients with an anorectal abscess progress to develop a chronic fistula. Cryptoglandular or idiopathic origin is the most frequent cause. Crohn’s disease is the second most common [1].

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Anal Fistula: Principles and Management by Richard L. Nelson M.D., F.A.C.S., Herand Abcarian M.D., F.A.C.S. (auth.), Herand Abcarian (eds.)


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