Abstract
Anorectal fistulas have been the subject of medical and lay literature for over 2,500 years. The term fistula is ascribed to John Arderne (1307–1392) whose classic work on anal fistula is still in print. However, it is important to note that in Ayurvedic medicine, Suhruta (b ~800 bc) described both fistulotomy and fistulectomy as well as the chemical seton using Kshara Sutra. Hippocrates (b ~460 bc) described the use of horsehair (seta) in the treatment of anal fistulas. Fistulas have been written about in many languages and geographical locations throughout the years. The true incidence of anal fistulas is unknown.
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Nelson, R.L., Abcarian, H. (2014). Epidemiology, Incidence and Prevalence of Fistula in Ano. In: Abcarian, H. (eds) Anal Fistula. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9014-2_1
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