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an anal fistula is defined as a small tunnel with an internal opening in the anal canal and an external opening in the skin near the anus. If your fistula passes through a significant portion of anal sphincter muscle, the surgeon may initially recommend inserting a seton. A seton is a piece of surgical thread thats left in the fistula for several weeks to keep it open. Before undergoing major fistula surgery, your doctor may choose to place a seton. If the seton involves a large amount of anal sphincter, the seton may be removed, and a formal excision of the fistula tract performed. This is an operation best performed after 12 weeks (or even longer), to allow complete resolution of sepsis and the formation of a definite epithelial-line or fibrous fistula tract that is well defined and. the surgical techniques described for the treatment of fistula-in-ano are fistulotomy, core-out fistulectomy, seton placement, endorectal advancement flap, injection of fibrin glue, insertion of a fistula plug, video-assisted anal fistula treatment (vaaft) and ligation of the intersphincteric fistula tract (lift), surgical techniques are. Anal fistula is a chronic phase of rectal infection characterized by recurrent pus or abscesses. Infection near the anus and accumulation of pus in the cryptic glands spread to the surface of the skin through the formation of a small canal behind it and cause disorder. An anal fistula is defined as a small tunnel with an internal opening in the anal canal and an external opening in the skin near the anus. Anal fistulas form when an anal abscess, thats drained, doesnt heal completely. Different types of anal fistulas are classified by their location. After the seton has been placed in the fistula tract, the wound will be covered with a light, padded dressing. As long as there are no complications, you should be able to go home later in the day.
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