Anal fistula surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
*Main stay of treatment of anal fistula is surgical treatment. | *Main stay of treatment of anal fistula is surgical treatment. | ||
*The principles for the management of anal fistula are described by the acronym SNAP, which stands for sepsis, nutrition, anatomy, and | *The principles for the management of anal fistula are described by the acronym SNAP, which stands for sepsis, nutrition, anatomy, and procedure. | ||
Eradication of sepsis is the first step—a fistula will not heal while infection is present. As with wound healing in general, anal fistulas heal poorly in malnourished patients. Fistula openings and therefore the underlying track anatomy are not always clear, and failure to recognise secondary tracks may lead to treatment failure. Selection of the appropriate procedure is key to successful management. | **Eradication of sepsis is the first step—a fistula will not heal while infection is present. As with wound healing in general, anal fistulas heal poorly in malnourished patients. Fistula openings and therefore the underlying track anatomy are not always clear, and failure to recognise secondary tracks may lead to treatment failure. Selection of the appropriate procedure is key to successful management. | ||
*According to the American Society of Colon and Rectal Surgeons. The goal of treatment of anal fistula is to obliterate the internal fistulous opening and any associated epithelialized tracks with minimal sphincter division. Thus, it is important to identify the internal opening and the course of all tracts relative to the sphincter muscles | *According to the American Society of Colon and Rectal Surgeons. The goal of treatment of anal fistula is to obliterate the internal fistulous opening and any associated epithelialized tracks with minimal sphincter division. Thus, it is important to identify the internal opening and the course of all tracts relative to the sphincter muscles | ||
Revision as of 20:23, 30 January 2018
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Anal fistula Microchapters |
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Diagnosis |
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Treatment |
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Anal fistula surgery On the Web |
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American Roentgen Ray Society Images of Anal fistula surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Manpreet Kaur, MD [2]
Overview
Surgery
- Main stay of treatment of anal fistula is surgical treatment.
- The principles for the management of anal fistula are described by the acronym SNAP, which stands for sepsis, nutrition, anatomy, and procedure.
- Eradication of sepsis is the first step—a fistula will not heal while infection is present. As with wound healing in general, anal fistulas heal poorly in malnourished patients. Fistula openings and therefore the underlying track anatomy are not always clear, and failure to recognise secondary tracks may lead to treatment failure. Selection of the appropriate procedure is key to successful management.
- According to the American Society of Colon and Rectal Surgeons. The goal of treatment of anal fistula is to obliterate the internal fistulous opening and any associated epithelialized tracks with minimal sphincter division. Thus, it is important to identify the internal opening and the course of all tracts relative to the sphincter muscles