Fistula Care
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What are Fistula?
A fistula is an abnormal communication between two epithelial lined surfaces. Fistulas arising from the anus or rectum can terminate on the perianal or buttock skin.
It is chronic stage of perineal abscess.
It is chronic stage of perineal abscess.
Cause
Nonspecific – cryptoglandular in origin.
Specific-
- Crohn’s disease
- Chronic ulcerativecolitis
- Tuberculosis (TB)
- Presence of a foreign body
- Carcinoma
- Trauma
Types of Fistula
Sign and Symptom- Persisting discharging perianal wound
ANAL FISTULAS/ PERIANAL FISTULAS
Types
ANAL FISTULAS/ PERIANAL FISTULAS
Types
- Inter sphinteric
- Trans sphinteric
- Suprasphinteric
- Extrasphinteric
It may be low anal, high anal or blind tract
Diagnosis and investigation
- Digital Rectal Examination
- Palpate indurate tract
- Probing
- Sinogram
- MRI
