TY - JOUR
T1 - Anal abscesses and fistulas
AU - Rickard, Matthew J F X
PY - 2005/1
Y1 - 2005/1
N2 - Anal abscesses and fistulas are a common part of surgical practice. Most abscesses simply need to be drained and most fistulas can be safely laid open. Excessive probing should not be attempted when draining abscesses as this may lead to iatrogenic fistulas. A small percentage of fistulas are complex and very challenging to manage. Management involves an accurate diagnosis and a balance between eradication of the fistula and maintenance of continence. A decision should be made, based on clinical evaluation and anal ultrasound (if available), whether the fistula can be laid open. If it cannot be laid open, a loose seton is placed and the sepsis is allowed to settle. Once the sepsis is quiescent, a definitive repair can be attempted. There are various techniques available including rectal advancement flap, fibrin glue and cutaneous flaps all of which are discussed.
AB - Anal abscesses and fistulas are a common part of surgical practice. Most abscesses simply need to be drained and most fistulas can be safely laid open. Excessive probing should not be attempted when draining abscesses as this may lead to iatrogenic fistulas. A small percentage of fistulas are complex and very challenging to manage. Management involves an accurate diagnosis and a balance between eradication of the fistula and maintenance of continence. A decision should be made, based on clinical evaluation and anal ultrasound (if available), whether the fistula can be laid open. If it cannot be laid open, a loose seton is placed and the sepsis is allowed to settle. Once the sepsis is quiescent, a definitive repair can be attempted. There are various techniques available including rectal advancement flap, fibrin glue and cutaneous flaps all of which are discussed.
KW - Anal fistula
KW - Peri-anal abscess
UR - http://www.scopus.com/inward/record.url?scp=15444368761&partnerID=8YFLogxK
U2 - 10.1111/j.1445-2197.2005.03280.x
DO - 10.1111/j.1445-2197.2005.03280.x
M3 - Review article
C2 - 15740520
AN - SCOPUS:15444368761
VL - 75
SP - 64
EP - 72
JO - Australian and New Zealand Journal of Surgery
JF - Australian and New Zealand Journal of Surgery
SN - 1445-2197
IS - 1-2
ER -