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Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
External Female Genitals01:15

External Female Genitals

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Related Experiment Videos

[Cryptoglandular anal fistulas].

Vincent de Parades1, Jean-David Zeitoun, Pierre Bauer

  • 1Service de proctologie médico-interventionnelle, groupe hospitalier Diaconesses Croix-Saint-Simon, site de Reuilly, 75012 Paris, France. proctologie@hopital-dcss.org

La Revue Du Praticien
|January 16, 2009
PubMed
Summary
This summary is machine-generated.

Cryptoglandular anal fistulae, a common perianal sepsis, require abscess drainage and surgical fistulotomy. Sphincter-preserving techniques are gaining interest to mitigate risks of anal incontinence associated with traditional methods.

Related Experiment Videos

Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Cryptoglandular anal fistulae are the most common cause of perianal sepsis.
  • They are characterized by an internal opening, a fistula tract, and an external opening or abscess.

Purpose of the Study:

  • To review the management of cryptoglandular anal fistulae.
  • To discuss the efficacy and risks of traditional surgical approaches.
  • To highlight the growing interest in sphincter-preserving techniques.

Main Methods:

  • Initial management involves urgent abscess drainage via incision and local anesthesia.
  • Fistula track treatment typically involves surgical fistulotomy to resolve discharge and prevent recurrence.

Main Results:

  • Traditional fistulotomy is effective in eradicating anal fistulae.
  • A significant risk of anal incontinence exists with conventional surgical methods.

Conclusions:

  • While effective, traditional fistulotomy carries a risk of incontinence.
  • Sphincter-preserving techniques, such as advancement flaps and fibrin glue injection, are increasingly explored to minimize this risk.