Author:
Kadiyan Rahul,Kumar Bhumika,Sahoo Pravat kumar,Gautam Sheenu,Rani Nisham
Abstract
A complication of incision drainage or abscess ulceration around the anus and rectum is anal fistula which manifests as the creation of irregular channels linking the rectum and anal canal with the skin circumambient to the anus. It mostly affects the male population having a yearly frequency of two cases per ten thousand individuals. Histologically in anal fistula chronic inflammatory cells and fibrous tissues are surrounded by epithelialization of variable degree, which are categorized as squamous, columnar, or transitional zone epithelium. Anal fistula influences the psychological condition of the patients, which leads to depression or anxiety symptoms, in addition to severely impacting their standards of living. In general, anal fistula cannot be treated without medical intervention and the most efficient treatment for anal fistula is surgery. The optimal treatment in the modern era includes the elimination of the infected lesion, adequate drainage, and fistula closure while minimizing injury to the anal sphincter which includes treatment with fibrin glue, fistula plug, LIFT, etc.
Publisher
BSP Books Private Limited
Subject
Pharmacology (medical),Clinical Biochemistry,General Pharmacology, Toxicology and Pharmaceutics,Pharmacy
Reference64 articles.
1. Eisenhammer S. The internal anal sphincter and the anorectal abscess. Surgery, gynecology & obstetrics. 1956 Oct;103(4):501-6.
2. Parks AG, Gordon PH, Hardcastle JD. A classification of fistula-in-ano. The British journal of surgery, 1976 Jan;63(1):1-12. doi: 10.1002/bjs.1800630102.
3. Sneider EB, Maykel JA. Anal abscess and fistula. Gastroenterology clinics of North America. 2013 Dec;42(4):773-84. doi: 10.1016/j.gtc.2013.08.003
4. Zanotti C, Martinez-Puente C, Pascual I, Pascual M, Herreros D, García-Olmo D. An assessment of the incidence of fistula-in-ano in four countries of the European Union. International journal of colorectal disease. 2007 Dec;22(12):1459-62. doi: 10.1007/s00384-007- 0334-7
5. Sainio P. Fistula-in-ano in a defined population. Incidence and epidemiological aspects. Annales chirurgiae et gynaecologiae. 1984;73(4):219-24.