Fistula-in-ano: When to Cut, Tie, Plug, or Sew

  title={Fistula-in-ano: When to Cut, Tie, Plug, or Sew},
  author={Robert Beaulieu and David Bonekamp and Corinne Sandone and Susan Gearhart},
  journal={Journal of Gastrointestinal Surgery},
Management of fistula-in-ano requires understanding of both perianal and rectal anatomy, as well as the surgical approaches available to ensure the highest possible postoperative continence and wound healing. Further, high rates of recurrence with medical management commonly bring these patients under the care of the colorectal surgeon after variable periods of failed conservative management. Novel techniques provide surgeons with tools to treat increasingly complex fistulas with a focus on… CONTINUE READING