Ann Coloproctol.
2024 Aug;40(4):321-335. 10.3393/ac.2024.00325.0046.
Recent advances in the diagnosis and treatment of complex anal fistula
- Affiliations
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- 1Department of Colorectal Surgery, Garg Fistula Research Institute, Panchkula, India
- 2Department of Surgery, Mata Gujri Memorial Medical College and Lions Seva Kendra Hospital, Kishanganj, India
- 3Department of Surgery, Banas Medical College and Research Institute, Palanpur, Palanpur, India
- 4Department of Clinical Research, Garg Fistula Research Institute, Panchkula, India
- KMID: 2558712
- DOI: http://doi.org/10.3393/ac.2024.00325.0046
Abstract
- Anal fistula can be a challenging condition to manage, with complex fistulas presenting even greater difficulties. The primary concerns in treating this condition are a risk of damage to the anal sphincters, which can compromise fecal continence, and refractoriness to treatment, as evidenced by a high recurrence rate. Furthermore, the treatment of complex anal fistula involves several additional challenges. Satisfactory solutions to many of these obstacles remain elusive, and no consensus has been established regarding the available treatment options. In summary, complex anal fistula has no established gold-standard treatment, and the quest for effective therapies continues. This review discusses and highlights groundbreaking advances in the management of complex anal fistula over the past decade.
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