Fistulectomy removes secondary fistulous tracts compared to fistulotomy, but fistulotomy has shorter healing times and less chance of damage to the sphincters.
2.
Fistulectomy removes secondary fistulous tracts compared to fistulotomy, but fistulotomy has shorter healing times and less chance of damage to the sphincters.
3.
A seton might be tied loosely as a palliative measure to avoid septic and painful exacerbations, or as temporary measure before surgical excision as in fistulotomy or fistulectomy.
4.
Examples are midline internal sphincterotomy ( 8 % risk ), lateral internal sphincterotomy, fistulectomy, fistulotomy ( 18-52 % ), hemorrhoidectomy ( 33 % ), ileo-anal reservoir reconstruction, Lower anterior resection, total abdominal colectomy, ureterosigmoidostomy, Some authors consider obstetric trauma to be the most common cause.
5.
Various surgical procedures are commonly used, most commonly fistulotomy, placement of a seton ( a cord that is passed through the path of the fistula to keep it open for draining ), or an endorectal flap procedure ( where healthy tissue is pulled over the internal side of the fistula to keep feces or other material from reinfecting the channel ).
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