Recurrent posterior anal fistula

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Clinical course after transanal advancement flap repair of perianal fistula in patients with Crohn's disease. The field should be tilted forward to coincide with the axis of the anal canal. Even with setons, recurrent sepsis is seen in approximately one third of patients. Prospective multicenter study of a synthetic bioabsorbable anal fistula plug to treat cryptoglandular transsphincteric anal fistulas. It should be noted that while the draining seton is often seen as a bridge to a more definitive therapy, it is also an acceptable long-term therapy for complex anal fistulas. Cutting seton versus two-stage seton fistulotomy in the surgical management of high anal fistula.
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Anal fistula - Wikipedia

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Anal fistula

Conservative supportive management of RUF does not appear to be successful in most patients, and management with surgical intervention remains the best treatment option [ 2 ]. Anal fistulae per se do not generally harm, but can be very painful, and can be irritating because of the drainage of pus it is also possible for formed stools to be passed through the fistula. Less common routes of spread are superiorly up the intersphincteric groove to the supralevator space or in the submucosal plane. Classification Parks et al categorized anal fistulas into four types based on their location relative to the anal sphincter complex:
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Recurrent posterior anal fistula
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