Full Description
Anal Fistula: Principles and Management provides a comprehensive and state of the art review of major issues specific and related to the treatment of anal fistulas. An important section of the book covers the large number of alternative procedures which have been developed in the last two decades. Needless to say, none of these procedures have been uniformly successful, otherwise there would be no need for all the different operations. The book addresses each alternative procedure, discusses the benefits of each procedure, includes the most up-to-date results. Other important chapters cover the causes and failure of treatment and operations for fistulas. Also included is a Cochrane Review of all available randomized controlled trials with levels of evidence culled from the literature.
Written by specialists in their respective fields, Anal Fistula: Principles and Management fills a void in available texts on a subject matter very commonly encountered by surgeons, physicians and specialists.
Contents
Epidemiology: incidence and prevalence of fistula in ano.- Applied anatomy.- Relationship of abscess to fistula.- Classification and treatment of anorectal infections.- Clinical assessment of anal fistulas.- Clinical assessment and imaging modalities of fistula in ano.- Classification and management strategies.- Seton (loose, cutting, chemical).- Fistulotomy and lay open technique.- Fistulectomy with Primary Sphincter Reconstruction.- Fibrin sealant.- Biologic fistula plugs.- Synthetic fistula plug.- Endorectal advancement flap.- Dermal advancement flap.- Ligation of Intersphincteric Fistula Tract (LIFT).- VAAFT.- Stem cell application in fistula disease.- Crohn's disease.- Tuberculosis fistulas.- Fistula Surgery in the Era of Evidence Based Medicine.- Causes of operative failure.- Recurrence/Persistence After Fistula Treatment: What Next?.
