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Fistula in ano.

S T Ross1

  • 1State University of New York, Stony Brook.

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Summary
This summary is machine-generated.

Fistula in ano typically arises from anal crypt infections, creating an abscess and a tract. Diagnosis involves patient history and local examination, with surgical techniques detailed to avoid complications.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Fistula in ano commonly originates from infected anal crypts of Morgagni.
  • This infection forms an abscess that subsequently creates a tract to the skin surface.

Purpose of the Study:

  • To describe the etiology and diagnosis of fistula in ano.
  • To detail surgical techniques and potential pitfalls in managing fistula in ano.

Main Methods:

  • Diagnosis relies on thorough patient history, including prior para-anal abscess and discharge.
  • Local examination is crucial for tentative diagnosis.
  • The study reviews operative techniques for identifying internal openings and complex tracts.

Main Results:

  • A history of para-anal abscess with intermittent discharge is a strong indicator.
  • Alternative diagnoses, such as Crohn's disease, should be considered.
  • Surgical management involves specific techniques to locate the internal opening and address branching tracts.

Conclusions:

  • Fistula in ano is primarily linked to anal crypt infections, with clear diagnostic indicators.
  • Effective surgical intervention requires careful technique to manage complex anatomy and avoid complications.