Treatment of anal fistula and abscess - 25/04/15
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Summary |
The glands of Hermann and Desfosses, located in the thickness of the anal canal, drain into the canal at the dentate line. Infection of these anal glands is responsible for the formation of abscesses and/or fistulas. When this presents as an abscess, emergency drainage of the infected cavity is required. At the stage of fistula, treatment has two sometimes conflicting objectives: effective drainage and preservation of continence. These two opposing constraints explain the existence of two therapeutic concepts. On one hand the laying-open of the fistulous tract (fistulotomy) in one or several operative sessions remains the treatment of choice because of its high cure rates. On the other hand surgical closure with tract ligation or obturation with biological components preserves sphincter function but suffers from a higher failure rate.
Le texte complet de cet article est disponible en PDF.Keywords : Abscess, Anal fistula, Treatment, Surgery
Plan
Vol 152 - N° 2S
P. S23-S29 - avril 2015 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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