Publication:
Surgical Technology International XVII - General Surgery
Article title:
Anorectal Sepsis and Fistula-in-Ano
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Author(s)
Adam Juviler, M.D.
Resident
Neil Hyman, M.D.
Samuel B. and Michelle D. Labow Professor of Colorectal Surgery,
Chief, Division of General Surgery, Department of Surgery,
University of Vermont College of Medicine,
Burlington, Vermont, USA
Abstract
Anorectal abscesses and fistulas are common maladies that are usually readily diagnosed and effectively treated. However, complex fistulous disease challenges even the most expert of surgical specialists. The management options in this subset of patients are suboptimal, with treatment often requiring multiple procedures, putting the patient at risk for continued symptoms and fecal incontinence. In this chapter, the clinical aspects of perianal suppurative disease are discussed and an attempt is made to deal with many of the more challenging aspects of patient management.