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Complex Fistula-in-Ano: Aetiology, Management and Functional Results

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Updates in Colo-Proctology

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Abstract

The successful treatment and understanding of fistula-in-ano requires knowledge of the anatomy of the anal canal, the pelvic musculature and the pathogenesis of fistula-in-ano. Sir Alan Parks made a number of contributions to our understanding of this problem, in the classification and pathogenesis of fistula-in-ano and in particular the importance of sepsis in the intersphincteric plane

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References

  1. Law PJ, Talbot RW, Bartram CI, Northover JMA (1989) Anal endosonography in the evaluation of perianal sepsis and fistula in ano. Br J Surg 76: 752–755

    Article  PubMed  CAS  Google Scholar 

  2. Seow C, Burnett S, Bartram CI, Nicholls RJ (1990) A comparison between ultrasound digital examination in perianal fistulae. Gut 31: A604

    Google Scholar 

  3. Buchan R, Grace RH (1973) Anorectal suppuration: the results of treatment and the factors influencing the recurrence rate. Br J Surg 60: 537–540

    Article  PubMed  CAS  Google Scholar 

  4. Wilson DH (1964) The late results of anorectal abscess treated by incision, curettage and primary suture under antibiotic cover. Br J Surg 51: 823–831

    Article  Google Scholar 

  5. Ellis M (1960) Incision and primary suture of abscesses of the anal region. Proc R Soc Med 53: 652–653

    PubMed  Google Scholar 

  6. Page RE, Freeman R (1977) Superficial sepsis: the antibiotic of choice for blind treatment. Br J Surg 64: 181–184

    Article  Google Scholar 

  7. Nesselrod JP (1949) Anal canal and rectum. In: Christopher F (ed) A textbook of surgery, 5th edn. Saunders, Philadelphia, p. 1092

    Google Scholar 

  8. Eisenhammer S (1956) The internal anal sphincter and the anorectal abscess. Surg Gynecol Obstet 103: 501–506

    PubMed  CAS  Google Scholar 

  9. Eisenhammer S (1958) A new approach to the anorectal fistulous abscess based on the high intermuscular lesion. Surg Gynecol Obstet 106: 595–599

    PubMed  CAS  Google Scholar 

  10. Eisenhammer S (1961) The anorectal and anovulval fistulous abscess. Surg Gynecol Obstet 113: 519–520

    PubMed  CAS  Google Scholar 

  11. Parks AG (1961) Pathogenesis and treatment of fistula-in-ano. Br Med J 1: 463–469

    Article  PubMed  CAS  Google Scholar 

  12. Wilson GS, Miles A (1975) Principles of bacteriology, virology and immunity, 6th edn. Edward Arnold, London, p. 2607

    Google Scholar 

  13. Grace RH, Harper IA, Thompson RG (1982) Anorectal sepsis: microbiology in relation to fistula-in-ano. Br J Surg 69: 401–403

    Article  PubMed  CAS  Google Scholar 

  14. Whitehead SM, Leach RD, Eykyn SJ, Phillips I (1982) The aetiology of perirectal sepsis. Br J Surg 69: 166–168

    Article  PubMed  CAS  Google Scholar 

  15. Eykyn SJ, Grace RH (1986) The relevance of microbiology in the management of anorectal sepsis. Ann R Coll Surg Engl 68: 237–239

    PubMed  CAS  Google Scholar 

  16. Henrichsen S, Christiansen J (1986) Incidence of fistula-in-ano complicating anorectal sepsis: a prospective study. Br J Surg 73: 371–372

    Article  PubMed  CAS  Google Scholar 

  17. Kronberg O (1985) To lay open or excise a fistula in ano, a randomized trial. Br J Surg 72: 970

    Article  Google Scholar 

  18. Mann CV, Clifton MA (1985) Re-routing of the track for treatment of high anal and ano-rectal fistulae. Br J Surg 72: 134–137

    Article  PubMed  CAS  Google Scholar 

  19. Thomson JP, Ross AH (1989) Can the external anal sphincter be preserved in the treatment of trans-sphincteric fistula-in-ano? Int J Colorect Dis 4: 247–250

    Article  CAS  Google Scholar 

  20. Parks AG, Gordon PH, Hardcastle JD (1976) A classification of fistula-in-ano. Br J Surg 63: 1–12

    Article  PubMed  CAS  Google Scholar 

  21. Arnous J, Parnaud E, Denis J (1972) Quelques réflexions sur les abcès et les fistules à l’anus. Rev Prat 22: 1793–1814

    PubMed  CAS  Google Scholar 

  22. Parks AG, Stitz RW (1976) The treatment of high fistula in ano. Dis Colon Rectum 19: 487–499

    Article  PubMed  CAS  Google Scholar 

  23. Marti MC (1990) Anorectal abscesses and fistulas. In: Marti MC, Givel JC (eds) Surgery of anorectal diseases. Springer Berlin Heidelberg New York

    Google Scholar 

  24. Buchmann P (1988) Lehrbuch der Proktologie, 2nd edn. Huber, Bern

    Google Scholar 

  25. Weber E, Buchmann P (1982) Eröffnung anorectaler Abscesse — mit oder ohne Fistelspaltung? Chirurg 53: 270–272

    PubMed  CAS  Google Scholar 

  26. Hirth G (1990) Analfisteln. Therapie und Langzeitergebnisse. Thesis, University of Zurich

    Google Scholar 

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Authors
  1. J. D. Hardcastle
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  2. M.-C. Marti
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  3. J. P. S. Thomson
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  4. R. H. Grace
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  5. A. Akovbiantz
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  6. P. Buchmann
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Editor information

Editors and Affiliations

  1. Service de Chirurgie, Centre Hospitalier, Université Vaudois (CHUV), 1011, Lausanne, Switzerland

    Jean-Claude Givel M.D.

  2. The General Hospital, Steelhouse Lane, B4 6NH, Birmingham, UK

    Geoffrey D. Oates M.D., F.R.C.S.

  3. St. Mark’s Hospital, City Road, EC1V 2PS, London, UK

    James P. S. Thomson

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© 1992 Springer-Verlag Berlin Heidelberg

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Hardcastle, J.D., Marti, MC., Thomson, J.P.S., Grace, R.H., Akovbiantz, A., Buchmann, P. (1992). Complex Fistula-in-Ano: Aetiology, Management and Functional Results. In: Givel, JC., Oates, G.D., Thomson, J.P.S. (eds) Updates in Colo-Proctology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-51680-1_34

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  • DOI: https://doi.org/10.1007/978-3-642-51680-1_34

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-55327-4

  • Online ISBN: 978-3-642-51680-1

  • eBook Packages: Springer Book Archive

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