Advancement Flap and Ligation of Intersphincteric Fistula Tract
5 results
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Anorectal Disease- A 37-year-old healthy man with no history of fecal continence issues presents with a draining left anterior fistula-in-ano. The fistula goes directly from the intersphincteric groove to an anterior crypt at the dentate line. What is the most appropriate treatment?
- A 32-year-old woman with a history of Crohn’s disease presents with pain of 3 days’ duration and swelling in the perianal region. Computed tomography confirms an ischiorectal abscess with transsphincteric fistula. In addition to draining the abscess, what is the best next step in management?
- A 43-year-old woman underwent a ligation of intersphincteric fistula tract (LIFT) 7 weeks ago to close her posterior transsphincteric anal fistula. She has had persistent discharge from her intersphincteric wound. On clinical examination, she was found to have a persistent internal opening and the external opening has healed. What would be the most appropriate procedure to perform next to resolve her drainage?
- A 25-year-old smoker with a history of Crohn’s disease and morbid obesity underwent emergent abscess drainage and seton placement 6 months ago. The patient is being treated with biologics. On physical examination of the perianal area, a right posterolateral high transphincteric fistula is seen with a seton and normal anoscopy findings. Which of the following options would you recommend?
- Benign Disease