Heaped up tissue at the external opening suggests a well-established fistula. D D, D The flap is then sutured, without tension, to the intersphincteric groove[ 28 ]. They can form when anal abscesses do not heal properly. Show More.
Identifying the Symptoms of a Rectal Fistula
However, these may be symptoms of many conditions. Dermal island-flap anoplasty was first described by Del Pino et al[ 30 ] inas an alternative to rectal advancement flaps, in order to reduce risk of mucosal ectropion and anal discharge. It is believed that the anal crypts become blocked by inspissated debris or stool. However, due to location of fistula, contamination of all repairs with feculent soilage challenges the integrity our results. LIFT procedure: This corresponds to the incidence of 8. As mentioned above, if a significant amount of sphincter musculature is involved in the fistula tract, a fistulotomy may not be recommended as the initial procedure.