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Anal fistula is a chronic abnormal communication between the anal canal and the perianal skin. [1] 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. [2] Anal fistulae commonly occur in people with a history of anal abscesses. They can form when ...
In anatomy, a fistula (pl.: fistulas or fistulae /-l i,-l aɪ /; from Latin fistula, "tube, pipe") is an abnormal connection (i.e. tube) joining two hollow spaces (technically, two epithelialized surfaces), such as blood vessels, intestines, or other hollow organs to each other, often resulting in an abnormal flow of fluid from one space to the other.
The anal glands or anal sacs are small glands near the anus in many mammals. [1] They are situated in between the external anal sphincter muscle and internal anal sphincter muscle . [ 2 ] In non-human mammals, the secretions of the anal glands contain mostly volatile organic compounds with a strong odor, and they are thus functionally involved ...
It should not be confused with the pectinate line between the upper and lower zones within the anal canal. The anal gland secretes lymphal discharge and built-up fecal matter from the colon lining. In some animals this gland expungement can be done routinely every 24–36 months to prevent infection and fistula formation.
In 1993 Matos et al. described a technique of total anal sphincter preservation in high fistula in ano, which is based on the concept of excision of intersphincteric anal gland infection through the intersphincteric approach. [3] This novel technique was also documented in Corman’s textbook of colon and rectal surgery. [4]
Goodsall's rule, developed in 1887, relates the external opening (in the perianal skin) of an anal fistula to its internal opening (in the anal canal). It states that if the perianal skin opening is posterior to the transverse anal line, the fistulous tract will open into the anal canal in the midline posteriorly, sometimes taking a curvilinear course.
Researchers ultimately found several sites that showed very early stages of tau tangle formation, suggesting these proteins are, in fact, clumping and tangling many years before the tangles show ...
In a minority of people, anal plugs may be useful for either standalone therapy or in concert with other treatments. [60] Anal plugs (sometimes termed tampons) aim to block the involuntary loss of fecal material, and they vary in design and composition. [8] Polyurethane plugs were reported to perform better than those made of polyvinyl-alcohol ...
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