Anal fistula. Past and present

Anal fistula is a common benign condition that typically describes a miscommunication between the anorectum and the perianal skin, which may present de novo, or develop after acute anorectal abscess. Athough anal fistulae are benign, the condition can still negatively influence a patient's qual...

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Bibliographic Details
Published inSaudi medical journal Vol. 35; no. 9; pp. 937 - 944
Main Author Zubaidi, Ahmad M
Format Journal Article
LanguageEnglish
Published Saudi Arabia 01.09.2014
Subjects
Humans
Rectal Fistula - classification
Rectal Fistula - diagnostic imaging
Rectal Fistula - surgery
Tomography, X-Ray Computed
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Summary:Anal fistula is a common benign condition that typically describes a miscommunication between the anorectum and the perianal skin, which may present de novo, or develop after acute anorectal abscess. Athough anal fistulae are benign, the condition can still negatively influence a patient's quality of life by causing minor pain, social hygienic embarrassment, and in severe cases, frank sepsis. Despite its long history and prevalence, anal fistula management remains one of the most challenging and controversial topics in colorectal surgery today. The end goals of treatment include draining the local infection, eradicating the fistulous tract, and minimizing recurrence and incontinence rates. The goal of this review is to ensure surgeons and physicians are aware of the different imaging and treatment choices available, and to report expected outcomes of the various surgical modalities so they may select the most suitable treatment. 
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ISSN:0379-5284