Anorectal Abscess and Fistula

Folder Anorectal Abscess and Fistula

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video Complex Crohn's perianal fistulas: The bottom line! - Takeda Symposium

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Michel Adamina

video Draining perianal abscesses.

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Alvaro Garcia-Granero

video Enriched platelet therapy

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Stéphanie Breukink

video LIFT trials and tribulations

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Arun Rojanasakul

video VAAFT solutions

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Phil Tozer

video For Trainees: Anal Fistula options

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Educational session - Bruno Roche (Switzerland) at ESCP Virtually Vilnius 2020

video Standardised Trainee Video: Transanal advancement flap

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Educational session - David Zimmerman (The Netherlands) at ESCP Virtually Vilnius 2020

video Simple solutions for challenging perineal problems: The optimal approach to a high fistula-in-ano

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Symposium - David Zimmerman (The Netherlands) at ESCP Vienna 2019

video Simple solutions for challenging perineal problems: Multidisciplinary management of complex Crohn’s fistula-in-ano

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Symposium - Phil Tozer (UK) at ESCP Vienna 2019

video Interactive Trainee Workshop: Perianal Crohn's

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Educational session - Janindra Warasuvitarne (UK) at ESCP Vienna 2019

video The future is already here: 3D imaging and printing in proctology

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Young ESCP Session - Jordan Fletcher (UK) at ESCP Vienna 2019

video PISA

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International Trials Results Forum - Christianne Buskens (The Netherlands) with Expert commentary from Amy Lightner (USA) at ESCP Vienna 2019

video Laparoscopic repair of rectovaginal fistula

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Surgical Video Session - Man-fung Ho (Hong Kong) at ESCP Vienna 2019

video Injection of freshly collected autologous adipose tissue for treatment of perianal fistula

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Surgical Video Session - Lilli Lundby (Denmark) at ESCP Vienna 2019

video Core Subject Update: Cryptoglandular perianal fistulas

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Educational session - David Zimmerman (The Netherlands) at ESCP Vienna 2019

video Results of using the modified FiLaC technology in patients with trans- and extrasphincteric anal fistulas

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Free Paper - Alexander Khitaryan (Russia) at ESCP Nice 2018

video Long-term (94-138 months) follow-up of anal fistula plug for treatment of high trans-sphincteric fistulas

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Free Paper: Neoplasia and Proctology - Ursula Aho Fält (Sweden) at ESCP Nice 2018

video Anal fistula: New plugs, biologics

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Trainee Video Session - Carlo Ratto (Italy) at ESCP Nice 2018

video Anal fistula: Flap

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Trainee Video Session - David Zimmerman (The Netherlands) at ESCP Nice 2018

video Anal fistula: LIFT

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Trainee Video Session - Lilli Lundby (Denmark) at ESCP Nice 2018

video Additional injection of autologous platelet rich stroma intransanal advancement flap repair of high transsphincteric fistulas

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Surgical Video Session - Wouter Deijl (The Netherlands) at ESCP Nice 2018

video Trans-anal colonic pull-through with delayed colo-anal anastomosis for low colo-vaginal fistula

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Surgical Video Session - Hortense Boullenois (France) at ESCP Nice 2018

video FIAT

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International Trials Results Forum - David Jayne (UK) with expert commentary by Charles Knowles (UK) at ESCP Berlin 2017

video Transanal repair of a recto-urethral fistula after prostatectomy

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Surgical Video Session - Marek Zawadzki (Poland) at ESCP Berlin 2017

video Trainee Video Session: Imaging: MRI for anal fistula

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Educational session - David Zimmerman (The Netherlands) at ESCP Berlin 2017

video Study comparing the treatment of anal fistula with glue instillation vs fat graft: FATGLUe protocol

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New Trials Forum - Aurélien Venara (France) at ESCP Berlin 2017

video Interactive Trainee Workshop: Anal fistula

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Educational session - David Zimmerman (The Netherlands) at ESCP Berlin 2017

video New methods of surgical treatment of high and transsphincteric fistulas

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Keynote Lecture by Paolo Giamundo (Italy) at ESCP Berlin 2017

pdf No cutting technique for anal fistulas: review of the literature Popular

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As part of fistula month, we were delighted to have Aldo Infantino submit a review of fistula literature.

document Anorectal Abscess and Fistula (Chapter 6, European Manual of Medicine: Coloproctology Second Edition) Popular

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Fistula in ano is a common condition mostly caused by inflammation of the proctodeal anal glands. This results in an acute anal abscess or chronic fistula. Anal fistulas are classified according to their relation to the anal sphincter muscles: subcutaneous, subanodermal, intersphincteric, transsphincteric, suprasphincteric or extrasphincteric. Distal fistulas including negligible amounts of sphincter muscle are treated by a lay-open technique (fistulotomy, fistulectomy), whereas proximal fistulas are cured using sphincter-saving procedures (advancement flap, fistulectomy with primary sphincter reconstruction, ligation of intersphincteric fistula tract, fistula plugs, fistula clip). The best surgical method balances the chance of healing and the risk of incontinence. An experienced colorectal surgeon also plays an important role.

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