Complex anal fistulae.

  title={Complex anal fistulae.},
  author={Victor Warren Fazio},
  journal={Gastroenterology clinics of North America},
  volume={16 1},
Complex anal fistulas challenge the judgment and operative skills of the surgeon in effecting a cure without compromise of anorectal function. This chapter outlines the classification, pathogenesis, methods of investigation and alternatives of management of a variety of complex fistulas. Also reviewed are the advantages and disadvantages of both traditional and newer methods of management, with special reference to staged fistulotomy and advancement rectal flap procedures. 

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