title: Complex anal fistulae.
abstract: Complex anal fistulas challenge the judgment and operative skills of the surgeon in effecting a cure without compromise of anorectal function. This chapter outlines the classification, pathogenesis, methods of investigation and alternatives of management of a variety of complex fistulas. Also reviewed are the advantages and disadvantages of both traditional and newer methods of management, with special reference to staged fistulotomy and advancement rectal flap procedures.
authors.forename: V W
authors.initials: VW
authors.lastname: Fazio
mesh_terms: D001003:Anal Canal / Q000601:surgery*; D006801:Humans; D012003:Rectal Fistula / Q000175:diagnosis / Q000601:surgery*