- proximal, transsphincteric anal fistulas
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Indications
-
Contraindications
- distal fistulas
- rectovaginal fistulas
-
Preoperative Diagnostics
- Proctological examination: inspection, palpation, proctoscopy, rectoscopy
- additionally: fistula probing
- in special cases: anal endosonography, MRI
-
Special Preparation
- Usually, orthograde bowel lavage is required (generally recommended, but not supported by strong evidence).
- A fistula without acute inflammatory changes must be present. This is usually achieved by inserting a thread (e.g., Vessel-Loop®) for 8-12 weeks.
-
Informed consent
General:
- Bleeding
- Thrombosis
- Embolism etc.
Specific:
- Fistula persistence
- Recurrence
- Abscess
Anesthesia
Depending on the general condition of the patient:Intubation anesthesia (Intubation anesthesia, Lar
Depending on the general condition of the patient:Intubation anesthesia (Intubation anesthesia, Lar
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