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Fistula-in-ano: A ten-year follow-up study of horseshoe-abscess fistula-in-ano

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Diseases of the Colon & Rectum

Summary

A preliminary report in 19654 described a conservative surgical procedure for the management of acute and chronic horseshoe anal fistulas. The operation has been used exclusively at the Ochsner Clinic for this problem since 1963. Forty-one patients were treated from 1963 to 1973.

The paper reviews the pathology of acute and chronic horseshoe anal fistulas and describes the surgical procedure for both acute and chronic horseshoe abscess anal fistulas with accompanying illustrations.

The excellent results with minimal deformity of the anus and anal canal are attributed to avoidance of severing the superficial external sphincter between its coccygeal origin and the anus. Of the 41 patients treated in the period from 1963 to 1973, healing was good, and there has been no recurrence.

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References

  1. Arderne J: Treatises of Fistula in Ano, Haemorrhoids and Clysters (edited and translated by Power DA). New York, H. Frowde, 1910 156 pp

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  2. Bernstein WC: The Joseph B. Mathews oration: The life and contributions of John Arderne. Dis Colon Rectum 13: 8, 1970

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  3. Gorsch RV: Perineopelvic Anatomy, From the Proctologist's Viewpoint. New York, The Tilghman Company, 1941, 298 pp

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  4. Hanley PH: Conservative surgical correction of horseshoe abscess and fistula. Dis Colon Rectum 8: 364, 1965

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Authors and Affiliations

  1. Department of Colon and Rectal Surgery, Alton Ochsner Medical Foundation, 1514 Jefferson Highway, 70121, New Orleans, Louisiana

    Patrick H. Hanley M.D., John E. Ray M.D., E. Earl Pennington M.D. & Oscar M. Grablowsky M.D.

  2. Tulane University School of Medicine, 1514 Jefferson Highway, 70121, New Orleans, Louisiana

    John E. Ray M.D.

Authors
  1. Patrick H. Hanley M.D.
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  2. John E. Ray M.D.
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  3. E. Earl Pennington M.D.
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  4. Oscar M. Grablowsky M.D.
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Cite this article

Hanley, P.H., Ray, J.E., Pennington, E.E. et al. Fistula-in-ano: A ten-year follow-up study of horseshoe-abscess fistula-in-ano. Dis Colon Rectum 19, 507–515 (1976). https://doi.org/10.1007/BF02590943

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  • DOI: https://doi.org/10.1007/BF02590943

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