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KMID : 0356720060220030214
Journal of the Korean Society of Coloproctology
2006 Volume.22 No. 3 p.214 ~ p.220
Surgical Treatment of Anal Fistula
Lee Jong-Kyun

Abstract
Various methods of surgical treatments were introduced for the treatment of anal fistulas. A surgeon has to select carefully the method most ideal to each type of anal fistulas. The fistulotomy is an ideal technique for the treatment of intersphincteric or transsphincteric fistulas because less serious problems of incontinence and/or recurrence follow after it. For the treatment of suprasphincteric and extrasphincteric fistulas, fistulotomy is of no use because of high incidence of incontinence. In such cases, most surgeons like to use the seton technique, muscle filling method, muscle closure method, advancement flap, re-route procedure, or fibrin glue injection in order to decrease the incidence of incontinence. The techniques and indications of each surgical procedure are reviewed in detail. J Korean Soc Coloproctol 2006;22:214-220
KEYWORD
Anal fistula, Surgical treatment
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