Sheikh Parvez
Saifee Hospital, Mumbai, India ; Nova Specialty Center, Mumbai, India.
Indian J Surg. 2012 Jun;74(3):217-20. doi: 10.1007/s12262-012-0594-5. Epub 2012 Jun 29.
Managing a complex fistula in ano can be a daunting task for most surgeons; largely due to the two major dreaded complications-recurrence & fecal incontinence. It is important to understand the anatomy of the anal sphincters & the aetiopathological process of the disease to provide better patient care. There are quite a few controversies associated with fistula in ano & its management, which compound the difficulty in treating fistula in ano. This article attempts to clear some of those major controversies.
对大多数外科医生来说,处理复杂的肛瘘是一项艰巨的任务;这主要是由于两大可怕的并发症——复发和大便失禁。了解肛门括约肌的解剖结构和该疾病的病因病理过程对于提供更好的患者护理很重要。肛瘘及其治疗存在不少争议,这增加了肛瘘治疗的难度。本文试图澄清其中一些主要争议。