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Review
. 2016 Mar;29(1):43-9.
doi: 10.1055/s-0035-1570392.

Management of Complex Anal Fistulas

Emily J Bubbers  1 , Kyle G Cologne  2
Affiliations
Review

Management of Complex Anal Fistulas

Emily J Bubbers et al. Clin Colon Rectal Surg. 2016 Mar.

Abstract

Complex anal fistulas require careful evaluation. Prior to any attempts at definitive repair, the anatomy must be well defined and the sepsis resolved. Several muscle-sparing approaches to anal fistula are appropriate, and are often catered to the patient based on their presentation and previous repairs. Emerging technologies show promise for fistula repair, but lack long-term data.

Keywords: advancement flap; anal fistula; transsphincteric fistula.

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Figures

Fig. 1
Fig. 1
Algorithm for the management of anal fistula based on complexity. EUA: examination under anesthesia; LIFT: ligation of intersphincteric fistula tract.
See this image and copyright information in PMC

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