- Intermediate transsphincteric fistulas
- High transsphincteric fistulas
- Suprasphincteric fistulas
- Acute abscess with existing fistula that initially cannot be laid open
-
Indications
-
Contraindications
- Patients who are inoperable
Note: Chronic inflammatory bowel disease is not a contraindication for this surgical technique.
-
Preoperative diagnostic work-up
- The necessary diagnostic work-up depends on the underlying problem and the urgency of the acute inflammation. As a rule, no specific examination modalities are required. Possibly helpful in special cases: Anal endosonography, CT or MRI
-
Special preparation
- None
-
Informed consent
General:
- Bleeding
- Thrombosis
- Embolism etc.
Specific:
- Persistent secretion
- Protracted healing
- Long healing period
- Renewed abscess formation
- Usually requiring further surgery
Anesthesia
Depending on the general condition of the patient:General anesthesia (General anesthesia, Laryngeal
Depending on the general condition of the patient:General anesthesia (General anesthesia, Laryngeal
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