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Advancement Flap for the Treatment of a Complex Anal Fistula

The procedure of an advancement flap may be summarized as elevating a flap, coring out of a infected gland, as well as an epithelized internal opening, suturing of the internal sphincter defect, closing the wound with a flap, and providing effective drainage. Journal List Ann Coloproctol v. Seton placement prior to an advancement flap may be helpful in terms of sepsis anal dermal flap.

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However, most studies on LIFT involved low or high trans-sphincteric fistulae [ 2 ]. Anal dermal flap and manometric results of endorectal advancement flaps for complex anal fistula. Treatment of a complex anal fistula has been a surgical challenge. The dermal flap procedure can be recommended for patients following failed conservative fissure treatment without the potential risk of anal incontinence. Long-term follow-up shows a very low incidence of mild anal incontinence after dermal flap coverage.

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