WebSep 1, 2014 · Perianal fistulae are a relatively common condition. They are thought to be a result of anal gland obstruction, with secondary abscess formation and external rupture of the abscess. They have... WebOct 31, 2024 · Most importantly, the advantage of coring-out fistulectomy is that it can accurately excise the primary fistula tract by lowering the probability of missing a secondary tract and thereby confirming...
Management of anal fistula - BMJ
WebThe initiating event according to the „cryptoglandular hypothesis‟ in the formation of perianal fistulas is infection of the intersphincteric glands at the dentate line, which may then track down either the intersphincteric plane to the skin or may traverse both anal sphincter layers to enter the ischioanal fossa. WebThe cryptoglandular hypothesis is central to the classification, which holds firstly that the majority of fistulas arise from an abscess in the intersphincteric plane and secondly that the relation of the primary track to the external sphincter is paramount in surgical management. Four main groups how do i get cheap tickets for broadway shows
MR imaging evaluation of perianal fistulas - Semantic Scholar
WebMay 13, 2024 · Introduction A high prevalence of cryptoglandular and Crohn’s perianal fistulas has been reported worldwide, and several surgical options are available for the management of anal fistula, with varying clinical efficacy. However, currently, the available evidence for the effectiveness of these surgical approaches are lacking and of concern in … WebDec 11, 2024 · Imaging during the acute episode (before incision and drainage) may be able to identify intersphincteric infection, thus pointing towards cryptoglandular infection as the underlying cause. WebThe cryptoglandular hypothesis as an explanation for the aetiology, pathogenesis and maintenance of idiopathic fistula-in-ano has been accepted yet hardly challenged since it was described over 30 years ago. The results of a prospective study of the surgical anatomy of acute anal sepsis are in accord with the hypothesis in that the ... how much is the health coach institute