Classification and Management Strategies

Mar 29, 2017 by in UROLOGY Comments Off on Classification and Management Strategies

Type Percent Subcutaneous 10–15 Low anal 60–70 High anal 15 Anorectal ischiorectal pelvic rectal 5 Submucosa, high intermuscular Very rare Fig. 7.1 The classification of anal fistulas. (a) Intersphincteric. (b)…

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Fistulotomy and Lay Open Technique

Mar 29, 2017 by in UROLOGY Comments Off on Fistulotomy and Lay Open Technique

  Never Rarely Sometimes Weekly Daily Incontinence for solid stool 0 1 2 3 4 Incontinence for liquid stool 0 1 2 3 4 Incontinence for gas 0 1 2…

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Applied Anatomy

Mar 29, 2017 by in UROLOGY Comments Off on Applied Anatomy

Fig. 2.1 Overview of the pelvic floor muscles and anal sphincters seen from below The pubococcygeus originates from the posterior inferior aspect of the pubis and the inner anterior surface…

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Stem Cell Application in Fistula Disease

Mar 29, 2017 by in UROLOGY Comments Off on Stem Cell Application in Fistula Disease

Fig. 18.1 Scheme of the mechanism of action of allogeneic eASCs in the tract of the anal fistula: anti-inflammatory and antiproliferative effect in an inflamed local environment (Courtesy of María…

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Ligation of Intersphincteric Fistula Tract (LIFT)

Mar 29, 2017 by in UROLOGY Comments Off on Ligation of Intersphincteric Fistula Tract (LIFT)

Fig. 16.1 Ligation of intersphincteric fistula tract. Reprinted with permission [3]. (a) Introduction of fistula probe through the tract. (b) Dissection of intersphincteric groove and identification of fibrotic fistula tract….

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Dermal Advancement Flap

Mar 29, 2017 by in UROLOGY Comments Off on Dermal Advancement Flap

Fig. 15.1 Dermal flap for treatment of anal fistula. (a) Flap is marked out, incorporating both the internal and external fistula openings. (b) Originating crypt is excised and flap is…

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Fistula Surgery in the Era of Evidence-Based Medicine

Mar 29, 2017 by in UROLOGY Comments Off on Fistula Surgery in the Era of Evidence-Based Medicine

Experimental therapy Control group Stem cell + glue Glue Plug Cutting seton Stem cell Stem cell + glue Plug Rectal flap Plug LIFT Glue Seton Plug Flap LIFT + plug LIFT Stem cell (Crohn’s) Placebo (Crohn’s)…

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Endorectal Advancement Flap

Mar 29, 2017 by in UROLOGY Comments Off on Endorectal Advancement Flap

Fig. 14.1 Rectal advancement flap. (a) Fistula in ano, with internal opening at the dentate line. (b) Elevation of partial-thickness flap, exposing internal opening. (c) Closure of internal opening. (d)…

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