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Etiology and surgical treatment of fistula-in-ano

  • Published:
Diseases of the Colon & Rectum

Conclusion

An anatomic study has shown that anal glands penetrated the internal sphincter in half of a series of 44 patients.

In an unselected serieś of 30 consecutive patients with anal fistula, the histologic appearance in 21 strongly suggested that the cause of the disease was infection in anal glands.

An operative technic has been described which was used in 38 consecutive cases. The aim of this method is to eradicate the source of the disease which is believed to lie between the internal and external sphincters,without dividing the external sphincter muscle. This can be quite a difficult technical procedure in some cases and, at present, it is not generally recommended for low fistulas; it is of great value, however, in dealing with high fistulas as it spares the mutilation of extensive sphincter division.

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References

  1. Chiari, H.: Ueber die analen Divertikel der Rectumsschleimhaut und ihre Beziehung zu den Analfisteln. Med. Jahrb., Wien. 1878, p. 419.

  2. Eisenhammer, S.: The internal anal sphincter and the anorectal abscess. Surg., Gynec. & Obst.103: 501, 1956.

    CAS  Google Scholar 

  3. Eisenhammer, S.: A new approach to the anorectal fistulous abscess based on the high intermuscular lesion. Surg., Gynec. & Obst.106: 595, 1958.

    CAS  Google Scholar 

  4. Gordon-Watson, C. and H. Dodd: Observations on fistula in ano in relation to perianal intramuscular glands: With reports of three cases. Brit. J. Surg.22: 703, 1935.

    Article  Google Scholar 

  5. Herrmann, G. and L. Desfosses: Sur la muquluse de la région cloacale du rectum. Acad. Sc.90: 1301, 1880.

    Google Scholar 

  6. Hill, M. R., E. H. Shryock and F. C. ReBell: Role of the anal glands in the pathogenesis of anorectal disease. J.A.M.A.121: 742, 1943.

    Google Scholar 

  7. John of Arderne: Treatises of Fistulas in Ano, Haemorrhoids and Clysters [edited by Sir D’Arcy Power, 1910]. London, Kegan Paul, c. 1376.

    Google Scholar 

  8. Kratzer, G. L. and M. B. Dockerty: Histopathology of the anal ducts. Surg., Gynec. & Obst.84: 333, 1947.

    Google Scholar 

  9. Lockhart-Mummery, J. P.: Discussion on fistula-in-ano. Proc. Roy. Soc. Med.22: 1331, 1929.

    Google Scholar 

  10. Parks, A. G.: Stereoscopic micro-anatomy. Brit. J. Surg.44: 209, 1956.

    Article  PubMed  CAS  Google Scholar 

  11. Parks, A. G.: Pathogenesis and treatment of fistula-in-ano. Brit. M. J.1: 463, 1961.

    Article  PubMed  CAS  Google Scholar 

  12. Tucker, C. C. and C. H. Hellwig: Histopathology of anal crypts. Surg., Gynec. & Obst.58: 145, 1934.

    Google Scholar 

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Authors and Affiliations

  1. Surgeon to the London Hospital and St. Mark’s Hospital, London, England

    A. G. Parks M.D., F.R.C.S.

Authors
  1. A. G. Parks M.D., F.R.C.S.
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Additional information

Read at the meeting of the American Proctologic Society, Pittsburgh, Pennsylvania, June 21 to 24, 1961.

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Parks, A.G. Etiology and surgical treatment of fistula-in-ano. Dis Colon Rectum 6, 17–22 (1963). https://doi.org/10.1007/BF02617227

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  • DOI: https://doi.org/10.1007/BF02617227

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