Low Lying Intersphincteric Fistulectomy: An Overvi...

fistula excision internal opening complex fistulas surgery patients presents challenges wound infections effectively remove lower part fistula surgery procedure ensures procedure involves life patients patients condition colorectal surgery fistula tract reliable solution potential risks recurrent infections pain drainage experienced surgeon avoid constipation stool softeners highfibre diet closely monitored secondary intention surgeon aims carefully dissected intersphincteric plane surgeon makes precise location endoanal ultrasound carefully preserving minimizing damage significant concern anatomically close indepth review perianal skin abnormal connection surgical management surgical procedure high risk anal fistula external opening external openings entire tract intersphincteric space delayed healing mucosal tissue anal mucosa typically develop lowlying fistulas anal sphincters anal canal postoperative care surgical technique patients improved quality sphincter function life potential complications entire fistula tract incontinence postoperative care recurrence minimized risk fistula tract passes completely excised minimizing lowlying anal fistulas lowlying intersphincteric fistulas external anal sphincters intersphincteric fistula occurs preserving sphincter function experience delayed healing causing significant damage surgeon surgical considerations anal canal closer wellestablished surgical technique promote healing advantages surgeons preference incision challenging conditions encountered lowlying intersphincteric fistulectomy external sphincter muscles anal sphincter muscles preserve sphincter function high success rate typically left open anal fistulogram mri surrounding infected tissue effective surgical option precision intersphincteric fistulectomy anal gland leading lowlying classification refers offers excellent outcomes regional anesthesia depending