Category - Anal
A lateral sphincterotomy involves making a small cut in the ring of muscle surrounding the anal canal (sphincter) to help reduce the tension in your anal canal. This allows the anal fissure to heal and reduces your chances of developing any more fissures. The formation of a fistula is determined by the anatomy of the anal sphincter and perianal fistulas will not heal on their own. The therapy of a fistula is oriented between a more aggressive approach (operation) and a conservative treatment with fibrin glue or a plug. Anal fistula (fistula in ano) one opening on the cutaneous surface near the anus, which may or may not communicate with the rectum. Arteriovenous fistula one between an artery and a vein, either pathologic (such as a varicose aneurysm ) or surgically created to ensure an access site for hemodialysis. keywords anal fistula management, ligation of intersphincteric fistula tract, plug, fibrin glue, fistula laser closure, video-assisted anal fistula treatment, adipose-derived stem cells core tip we present a review with a critical appraisal on the modern procedures for anal fistula which aims to the common goal of minimising the injury to the anal sphincters whilst preserving optimal function. You probably wont need surgery for anal fissures unless other forms of treatment havent worked. The surgery, called a lateral internal sphincterotomy (lis), involves making a small cut in the. an anal fistula is defined as a small tunnel with an internal opening in the anal canal and an external opening in the skin near the anus. Surgery for an anal fistula is usually carried out under general anaesthetic. In many cases, its not necessary to stay in hospital overnight afterwards. The aim of surgery is to heal the fistula while avoiding damage to the sphincter muscles, the ring of muscles that open and close the anus, which could potentially result in loss of bowel control (bowel incontinence).