[Current problems and countermeasures in treatment of complex anal fistula].
The high recurrent rate and insufficient protection of anal function in treatment of anal fistula were reviewed in this article. To solve the problems in the treatment of complex fistula-in-ano including ignorance of preoperative assessment and lack of consciousness of preserving anal function, the authors raised the countermeasures to carry out the "gold standard" of preoperative assessment and the system of medical delivery, form the new principle of incision of anal sphincters, collect the high-level evidence-based medicine proof, improve the healing rate and significantly reduce the postoperative continence disturbance, so as to develop a new guideline for the treatment of fistula-in-ano.
Zhu
Ping
P
Department of Chinese Traditional Surgery, the First Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing 210000, China.
Gu
Yun-Fei
YF
Yang
Bo-Lin
BL
D019317:Evidence-Based Medicine; D006801:Humans; D012003:Rectal Fistula / Q000601:surgery*; D012008:Recurrence