Abstract

SIMPLIFIED TREATMENT FOR DIVERSIFIED FISTULA IN ANO

*Dr. Mohammad Amir, *Dr. Arun Kumar Singh and *Dr. Mrigank Shekhar

Abstract

Perianal abscesses and fistulas represent with acute or chronic manifestations of the same disease process as anal gland infection. They have troubled patients and physicians. A thorough understanding of the anatomy and pathophysiology of the disease process is critical for optimal diagnosis and management. Abscess management is fairly straight forward, with incision and drainage being the trademark of therapy. Fistula management is much more complicated. It requires a balance between rates of healing and the mechanism of continence and early return to the normal activity. This, therefore, requires much more fineness. Many techniques are now available in the endowment of the surgeon who treats fistula-in-ano. Although no single technique is appropriate for all patients and all fistula types, appropriate selection of patients and choice of repair technique should yield higher success rates with lower associated morbidity.

Keywords: Abscess, Fistula, Perianal, Perirectal, Fistula-in-ano.