Start your free 3-day trial — no credit card required, full access included

Anal fistula, Plastic fistula closure

general and visceral surgery

readingtime 08:16 min.

Activate now

Anatomy Perioperative management Technique Complications Evidence Total Video

Content

Probing and Inspection of the Fistula
Excision of the External Fistula Ostium
Excision of the Internal Fistula Opening
Preparation of the Advancement Flap
Suture Closure of the Internal Fistula Opening
Advancement Flap Technique

Authors

Prof. Dr. med. Alexander Herold

Prof. Dr. med. Alexander Herold

End- und Dickdarm-Zentrum Mannheim

Date

date of publication: 26.04.2009
date of update: 30.08.2023

Probing and Inspection of the Fistula

Soundsettings
The video clip can be played back with the automatic soundtrack of the subtitles.

In the sidebar registered users can enable and disable the automatic start of the dubbing.

Remark: Since this is a text-to-speech computer voice, it may mispronounce some medical terminology.

First, inspection of the fistula, which has healed without irritation and is equipped with a thread drainage. Probing of the fistula through the external fistula opening, as well as the digital rectal examination.
Excision of the External Fistula Ostium

Soundsettings
The video clip can be played back with the automatic soundtrack of the subtitles.

In the sidebar registered users can enable and disable the automatic start of the dubbing.

Remark: Since this is a text-to-speech computer voice, it may mispronounce some medical terminology.

Now begins the funnel-shaped excision of the fistula along the fistula tract.
Excision of the Internal Fistula Opening

Soundsettings
The video clip can be played back with the automatic soundtrack of the subtitles.

In the sidebar registered users can enable and disable the automatic start of the dubbing.

Remark: Since this is a text-to-speech computer voice, it may mispronounce some medical terminology.

The anal retractor is inserted and the internal fistula opening is prepared. Along the fistula, the internal fistula opening is now sparingly excised.

Preparation of the Advancement Flap

The mucosal flap necessary for defect coverage is carefully prepared with the electrocautery. ... -

Activate now and continue learning straight away.

Single Access

Activation of this course for 3 days.

US$9.30 inclusive VAT

Most popular offer

webop - Savings Flex

Combine our learning modules flexibly and save up to 50%.

from US$7.19 / module

US$86.28/ yearly payment

general and visceral surgery

Unlock all courses in this module.

US$14.38 / month

US$172.60 / yearly payment

After activation, you can expect the following content:

Probing and Inspection of the Fistula
Excision of the External Fistula Ostium
Excision of the Internal Fistula Opening
Preparation of the Advancement Flap
Suture Closure of the Internal Fistula Opening
Advancement Flap Technique