Anal sphincter seton scar tissue

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A seton (silk string or rubber band) is used to either create scar tissue around part of the sphincter muscle before cutting it with a knife allow the seton to slowly cut all the way through the muscle over the course of several weeks the seton may also aid in the drainage of the fistula. Anal fistula is a chronic abnormal communication between the epithelialised surface of the anal canal and usually the perianal skin. An anal fistula can be described as a narrow tunnel with its internal opening in the anal canal and its external opening in the skin near the anus. Anal fistulae commonly occur in people with a history of anal abscesses. The chronic inflammatory tissue is removed and the wound is allowed to heal secondarily by scar tissue formation. For fistulas that involve the internal anal sphincter or only a small portion of the external anal sphincter there is a small risk of incontinence postoperatively. 2 glyceryl trinitrate cream) will heal some 40 of the fissures by improving the local blood supply, which helps to relax the anal sphincter muscles and allows the fissure to heal. It is less effective for chronic fissures with significant scar tissue. A seton (silk string or rubber band) is used to either create scar tissue around part of the sphincter muscle before cutting it with a knife allow the seton to slowly cut all the way through the muscle over the course of several weeks the seton may also aid in the drainage of the fistula. Due to the inflammation and chronic sclerosis in most cases, the separation of the internal and exter-nal sphincter is not possible, but for reconstruction, such a separation is not necessary. This is often the first part of treatment requiring several stages. Secondary surgery once a seton is in place the fistula is usually controlled but this does not result in a cure and some discharge will remain. Further surgery may be needed and there are a variety of options available.   core tip we present a review with a critical appraisal on the modern procedures for anal fistula which aims to the common goal of minimising the injury to the anal sphincters whilst preserving optimal function. We found the following ones as the most representative ligation of intersphincteric fistula tract, anal fistula plug derived from porcine small intestinal submucosa and the new. Suprasphincteric anal fistula fistulectomy, seton, advancement flap extrasphincteric anal fistula. Scar tissue alone, and blind tracks with no internal opening,. The permanent defect in the internal anal sphincter might result in soiling and incontinence for gas or liquid stool.

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