Anorectal abscess and fistula-in-ano: evidence-based management.

Clinical Practice Guideline for the Management of Anorectal Abscess, Fistula-in-Ano, and Rectovaginal Fistula.

Fistula in Ano - Recent Advances in Management

Fistula in ano commonly develops as a chronic sequela to an asymptomatic or symptomatic abscess in an anal canal gland, i.e. cryptoglandular in origin [1]. It occurs in upto one third of patients who undergo drainage of an anorectal abscess [2]. Complex, recurring fistulas could develop secondary to trauma, infection, radiation or chronic granulomatous infections (tuberculosis, actinomycosis) [3].

Other Anorectal Conditions

Introduction Children have a variety of anorectal problems that cause considerable distress to the patients and challenges to the surgeons. The presentation of these conditions may be age specific. Abscesses, fistulas, and fissures appear more commonly in infants and young children, whereas hemorrhoidal diseases are more common in older children and teenagers. The anorectal conditions discussed...

A Single Center Study of 80 Cases of Fistula-in-ano

Background: Anal fistulae, especially the complex and the high ones, are a challenge to treat even for an experienced surgeon. Hence, there is a need to preoperatively evaluate anal fistula to reduce the rate of recurrence. Objective: This study was embarked on to evaluate the natural course of anal fistula and its management. Goodsall’s rule, which predicts the course of fistulous tracts, was ...

Radio frequency fistulotomy: A better tool than the conventional techniques in anal fistula

Fistula in ano is defined as an abnormal communication, lined by granulation tissue between the anal canal and the exterior i.e. the skin, which causes a chronic inflammatory response. Most commonly, these fistulae develop following an anal abscess. Inadequate drainage of the abscess or a spontaneous rupture are the two main reasons for development of anal fistula. The occurrence of such absces...