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Journal of Gastrointestinal Surgery

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01-06-2013 | How I do it

Fistula-in-ano: When to Cut, Tie, Plug, or Sew

Authors: Robert Beaulieu, David Bonekamp, Corinne Sandone, Susan Gearhart

Published in: Journal of Gastrointestinal Surgery | Issue 6/2013

Abstract

Introduction

Management of fistula-in-ano requires understanding of both perianal and rectal anatomy, as well as the surgical approaches available to ensure the highest possible postoperative continence and wound healing. Further, high rates of recurrence with medical management commonly bring these patients under the care of the colorectal surgeon after variable periods of failed conservative management. Novel techniques provide surgeons with tools to treat increasingly complex fistulas with a focus on maintaining sphincteric functionality and limiting recurrence.

Method

This manuscript presents our practice, including perioperative decision making regarding surgical approach, in managing patients with fistula-in-ano.

Conclusion

Familiarity with these techniques prepares the general surgeon and colorectal surgeon to improve wound healing and functional outcomes in these patients, especially with complex disease involving the external and internal anal sphincters.

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Title: Fistula-in-ano: When to Cut, Tie, Plug, or Sew
Authors: Robert Beaulieu
David Bonekamp
Corinne Sandone
Susan Gearhart
Publication date: 01-06-2013
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 6/2013
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-012-2126-9

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Fistula-in-ano: When to Cut, Tie, Plug, or Sew

Abstract

Introduction

Method

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Introduction

Method

Conclusion

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