Complex anal fistulae
Fazio, V.W.
Gastroenterology Clinics of North America 16(1): 93-114
1987
ISSN/ISBN: 0889-8553 PMID: 3298058 Document Number: 290900
Complex anal fistulas challenge the judgment and operative skills of the surgeon in effecting a cure without compromise of anorectal function. This chapter outlines the classification, pathogenesis, methods of investigation and alternatives of management of a variety of complex fistulas. Also reviewed are the advantages and disadvantages of both traditional and newer methods of management, with special reference to staged fistulotomy and advancement rectal flap procedures.