LIFT 3
3 results
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Anorectal Disease- A 53-year-old woman, gravida 3, para 3, with a BMI of 38 and diabetes, and who is an active smoker presents to your office with a draining seton placed for recurrent fistula in ano. Magnetic resonance imaging (MRI) shows a right anterolateral transsphincteric fistula with an anterior sphincter defect. Which factor places her at the highest risk for anal advancement flap failure?
- A 29-year-old female patient presents 3 weeks postpartum following a vaginal delivery. She has incontinence to flatus and flatus per vagina. Examination shows an intact perineum, adequate resting anal tone, and a 5-mm anterior defect in the upper anal canal. What is the most appropriate next step in her management?
- Malignancy