Drainage of vaginal anal fistula

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Find out what causes them and what complications could develop as a result. A fistula is a passage between a hollow or tubular opening and another body tissue or between 2 tubular organs. Fistulas may form different locations and variations in the body, but anorectal fistulas are the most. Anal fistula is a chronic abnormal communication between the epithelialised surface of the anal canal and usually the perianal skin. An anal fistula can be described as a narrow tunnel with its internal opening in the anal canal and its external opening in the skin near the anus. Anal fistulae commonly occur in people with a history of anal abscesses.   additionally, anal sphincter integrity in women after vaginal delivery must be considered as some patients may require a sphincter repair along with the fistula repair. An important aspect of rvf repair is initial drainage of perianal sepsis before consideration of surgical closure.   the surgical techniques included ileocecal interposition, coloanal anastomosis, perineoproctotomy with sphincter repair, levatorplasty and closure of the fistula, rectal advancement flap and vaginal advancement flap. After initial drainage of anal sepsis and optimization of medical therapy, fistula closure was achieved in 81 of 52 patients.   an anal fistula is a tunnel that runs from inside the anus-- the hole your body uses to get rid of solid waste -- to somewhere in the skin around it.

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