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Anal Fistulas

Anal abscesses and fistulas are common conditions. They most commonly arise from an infection of a gland in the anal canal. An anal fistula is an abnormal tunnel that runs from the previously infected gland on the inside of the anus, to the external skin surface. A fistula can be present with or without an abscess.

We specialize in the management of complex anal fistulas.  Our surgeons will discuss with you the various types of treatments for fistulas and the most appropriate treatment for you. Management options include: Fistular plug, Seton, Fistulotomy, Ligation of the Intersphincteric Fistula Tract (LIFT), and  Endorectal Advancement Flap.

Fistular plug: The plug is inserted into the tract and secured in position. The fistula plug is positioned from the inside of the anus with suture. Tissue surrounding the plug grows, thereby closing the defect permanently.

Seton: This is a rubberband like drain tube that is placed into the fistula tract to allow any residual infection to drain away prior to any further surgery.

Fistulotomy: This procedure involves connecting the internal opening within the anal canal to the external opening, creating a groove that will heal from the inside out.

Ligation of the Intersphincteric Fistula Tract (LIFT): This procedure is based on secure closure of the internal opening and removal of infected cryptoglandular tissue through the intersphincteric approach. The LIFT technique is often performed for complex or deep fistulas.

Endorectal Advancement Flap: This involves pulling healthy tissue down over the inside opening of the fistula to close it off and allow it to heal.