“Reoperative Surgery For Persistent Anal Fistulae”

Failure of treatment of a primary anal fistula is rarely life threatening, but the cost to the patient in terms of pain, discomfort, and interruption of daily life is substantial. Complex or recurrent fistulas must be methodically evaluated so a successful treatment strategy can be developed, and therapy completed, ideally without compromising fecal continence. Advanced imaging can be useful in identifying complex tracts and accumulated sepsis but is rarely indicated in the setting of a primary fistula.

Source: Seminars in Colon and Rectal Surgery - September 19, 2015 Category: Gastroenterology Authors: Janice F. Rafferty, Jonathan R. Snyder Source Type: research