Anorectal fistulas are mostly cryptoglandular in origin. An understanding of anatomy and basic principles including the identification of the internal and external openings, destruction and sealing of the internal opening, and muscle preservation allows successful management. A variety of surgical approaches including fistulotomy, seton placement, plugs, LIFT, and advancement flap must be individualized to the patient to achieve the optimal result.


Fibrin Glue Fistula Tract Anal Fistula Internal Opening Primary Opening 
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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of Colon and Rectal SurgeryOchsner Clinic foundationNew OrleansUSA

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