How to deal with complex anal fistula in an immunosuppressed patient

Marie S De Robles1, Robert D R Winn1

  • 1Department of Colorectal Surgery, Wollongong Hospital, Wollongong, New South Wales, Australia.

We describe a practical approach to the management of complex anal fistula in an immunocompromised patient. We define our treatment motifs: to close the internal opening, maintain external drainage until internal opening and tract healed; minimize sphincter damage. We hope other authors can build on this case technique to improve fistula surgery outcomes.

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