How can Perennial and fistula - Anal fistula - Laparoscopic Management of Fistula and Abscess

In this video DR. Abdul Basit Qureshi, one of the surgeons in Lahore talks about
How can Perennial and fistula - Anal fistula - Laparoscopic Management of Fistula and Abscess


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Perennial and fistula
Anal fistula
Abscess
Superficial abscesses (subcutaneous, submucosal, ischiorectal abscesses) show typical symptoms such as pain, swelling, tenderness, fever. Due to their anatomic location, they often cause discomfort on walking and sitting. Usually the vicinity to the anal canal causes painful defecation.

Deep abscesses (intermuscular, pelvirectal) often lack typical symptoms. Diffuse pelvic pain and raised body temperature are found occasionally.

Besides physical examination, including rectal-digital examination, CT, MRI or endosonography have proven to give information about deeper abscesses (grade B and C).

Fistulae
The symptoms of perianal fistulae depend on the severity of inflammation. Bland fistulae may excrete pus, sometimes serous fluid and rarely feces, leading to pruritus ani, itching and skin maceration. Severe symptoms occur only occasionally, when spontaneous closure of the fistula leads to recurrent abscess formation.


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.