Anal Fistula the management of convoluted anal fistula remains a test for specialists and a baffling issue for patients. Treatment expects to cure the condition, with seepage of the related contaminated organ abscess and annihilation of the fistula tract. The greater part of perianal diseases are either idiopathic or crypto-glandular in inception. All techniques for fistula repair depend on the disposal of the fistula interior opening to the anal gland. Anorectal abscess and the fistula that it may bring about, are long-term processes, initially portrayed toward the start of the recorded medical history, as a component of the ''Corpus Hippocraticum'' in a treatise termed ''On Fistulae''.
The notable reasons for a typical/confused abscess and fistula, including inflammatory bowel disease, contagious disease, mycobacterial contamination, neoplasm and injury. Classification of Anal Fistula The four main classes of fistulas are: 1) Intersphincteric 2) Transsphincteric 3) Suprasphincteric 4) Extrasphincter. The most regular giving grumblings of patients a anal fistula are swelling, agony and release. The previous two manifestations are normally connected with a abscess, when the outside or optional opening has shut or has neglected to create Anal fistula may be mistaken for suppurative hidradenitis and pilonidal sinus and the specialist should be mindful so as to make the right determination.
The advancement of rectal flap technique would be appealing with less sphincter muscle to be divided. A few types of setons used are the Ayurveda-medicated thread, braided sutures, thread, rubber band, Penrose drains, and cable tie seton, Seton material should be non-absorbable, from non-slippage material, comfortable and least irritant for the patient and equally effective in causing focal reaction in the track, leading to fibrosis, beside these procedures, fistulotomy, fistulectomy and AMF with seton have also been used as new techniques for fistula treatment.
Swedish National Population Registry Between March 2000 and January 2006, 85 patients with cryptoglandular anal fistula were included in the study after informed consent. All patients had an anal fistula for the first time with duration of symptoms of maximum 12 months. There were 35 women (mean age 39 years, range 20-60) and 50 men (mean age 45, range 15-77). Sixty-six patients (78 %) were recruited at the University Hospital, Uppsala, Sweden, and nineteen (22 %) at other regional or district hospitals in the Uppsala healthcare region The primary number of controls was thus 170. When including surplus controls, after the two first received for each patient, the total number was 215. Of the controls, 75.8 % came from batch number one and 21.4 % from number two.