Removal of sutures or corresponding drainage in the treatment of 48 cases of complex anal fistula.docVIP

 PAGE \* MERGEFORMAT 7 Removal of sutures or corresponding drainage in the treatment of 48 cases of complex anal fistula [Keywords:] anal fistula drainage suture removal Since 2002, we have adopted a head plus part of the branch pipe drainage removal of seals or their counterparts in the treatment of complicated anal fistula in 48 cases, satisfactory effect, these are as follows. 1 Data and methods 1.1 General Information Of 48 cases diagnosed in this group are in line with 1975 developed by the Conference of the anal fistula Hengshui diagnostic criteria [1]. 48 cases, the male 40 cases, female 8 cases; aged 16 to 65 years, mean 36.4 years old; duration of 5 months to 27 years, an average of 7 years. There are 2 or more outside the mouth in 18 cases, up to 5 persons outside the mouth. High complex anal fistula in 15 cases, low 33 patients with complex anal fistula. The patients were repeatedly perianal swelling and pain or fever, or pus and blood flow of history, the majority of cases of self-ulceration or self-punctured stream sepsis, 8 cases have been outside the hospital-line treatment of perianal abscess incision and drainage. 1.2 Treatment Preoperative routine cleansing enema, skin preparation. The first operation to take appropriate posture, routine disinfection of shop towels, perianal local anesthesia or epidural anesthesia. Through the DRE, anal microscope, methylene blue in contrast with the probe to identify the mouth of the pipe branch in charge of Road and the direction of the relationship between the number and location and so on. (1) The Tao processing: within the index finger in the anus under the guidance of ball probe since the most recent outside the mouth of the main kitchen rim toward fistula from the dentate line, through the competent Road mouth stuck at the main kitchen, knife cut along the probe direction inside and outside the mouth to open the skin and subcutaneous tissue, complete removal or residual fistula small part of the