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On the high complexity of the surgical treatment of anal fistula
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On the high complexity of the surgical treatment of anal fistula
[Keywords:] complex anal fistula
High complex anal fistula refers to a high position within the mouth, the main, branch pipes criss-crossing, bending the connected around the anus and a half week or full weeks; also overlapping layers, showing honeycomb-like stealth pipe. Complex anal fistula is a high anorectal surgery, one of the clinical disease more difficult to handle because of the complexity of the treatment led to many problems, high recurrence rate, postoperative complications, sequelae were more likely to. Chinese medicine for its treatment have more records, ‘Dacheng anal fistula surgery attached to I’, said: ‘Youlou nails were inserted with drugs, those who pass intestinal linked to drug line ... ... Where the holes with hung over who should Fen a hole, a hole the next day and then Fen, such as the line off the mouth open by spreading myogenic casual. ‘At present, surgery is the high complexity of the anal fistula cure the most important measures, the clinical surgical numerous divergent views, this article seeks to draw up the basic surgical principles and approaches.
A principle of surgical treatment
1.1 to find within the mouth and a thorough treatment: anal fistula a primary within the mouth, fistula, branch pipes and secondary external port. The source of infection within the mouth that is the entrance, mostly in anal sinus and its vicinity, the latter being more common on both sides of the center line, but can also be lower in the rectum or any part of the anal canal. Removal of dirt inside the mouth to remove the intestines must pass through pores into the fistula, to prevent intestinal infection sources continue to pollute the opportunity, in the high complexity of the treatment of anal fistula, inner mouth of the removal and treatment of whether or not the relationship between the success or failure is extremely close , such as inside the mouth wi
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