A Senéjoux | PubMed Health

PubMed2004

[Conventional surgical treatment of anal fistulas].

Conventional treatment of anal fistulas depends from anatomical relationships of the fistula with striated sphincter complex. Location of primary opening is crucial, blind fistula does not exist. Low fistulas can be treated in a single procedure without remarkable consequence on continence. Anterior fistulas in female, multiparas and multioperated patients with impaired continence must be treated with caution with at least two stages. High anal fistulas will always be treated in several stages: first stage is drainage with a loose seton during two or three months followed by fistulotomy or cutting seton.

Adult↗

PubMed2001

[Anal suppurations].

Anal suppurations can be classified according to their origin: from the anal canal, from above the anal canal, or independent from the ano-rectum. Wherever suppuration comes from, an abscess can be present at the acute phase. Anal fistulas represent about 70% of anal suppurations. They always begin by cryptoglandular infection, which can spread to the intersphincteric space and then pass through the anal sphincter. Treatment of anal fistula is a double challenge: healing the suppuration, and preserving anal continence. Among suppurations independent from the ano-rectum pilonidal disease is the most frequent (15% of the suppurations). Other causes of ano-perineal suppurations are infected fissure, Verneuil's disease, and gland, recto-vaginal fistulas and Crohn's disease.

Abscess↗