Complicated treatment that is swollen and painful enough to sit or walk?
Feb 06, 2025
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However, it is also an institution that needs to pay more attention to management because it is vulnerable and does not recover well when hurt, and bacterial infections are easy due to the nature of contact with feces.
An anal gland is present on the inner wall of the anus that expels lubricating secretions for smooth defecation. Anus glands are hollow and easily penetrated by bacteria or foreign substances, causing inflammation and abscesses (pus) may be filled. When an anal abscess, which is a kind of pus bag, bursts, an anal gland and passage are formed, which is called 'Chiru'. In general, 70% of patients with an anal abscess suffer from anal fistula, and males are overwhelmingly more than females.
In other words, anal fistula is an inflammation of the sphincter and a 'side path' of pus. When it occurs, the area around the anus is repeatedly swollen, very painful, and pus is caught. In addition, a convex protruding hole (outer hole) is touched around it, pus or gas is released through the outer hole, and it interferes with daily life enough to make it uncomfortable to sit or walk.
The anal fistula is classified into simple anal fistula and complex anal fistula according to the degree of sphincter involvement.
The simple anal fistula is only one length of the anal fistula, and it is thinly driven toward the anus without invading the outside of the inner sphincter. Unlike simple anal fistula, complex anal fistula occur deep and wide, with side streets containing a large portion of the sphincter or climbing above the sphincter.
In addition, anal fistula caused by Crohn's disease or tuberculous enteritis, recurrent anal fistula, and in the case of women, anal fistula caused by a person with a weak sphincter are also complicated anal fistula.
In the initial anal abscess state, pus can be removed and left bath alone can be expected to improve, but when it develops into an anal fistula, surgery is the only way to cure it.
The basic principle of surgery is to remove the primary lesion in the sphincter and treat the fistula, but in the case of complex anal fistula with multiple side streets, more difficult and complex surgery is required. Various surgical methods are being attempted to reduce sphincter damage and to reduce sphincter damage, such as 'Cyton(seton)' that cuts sphincter damage while avoiding sphincter damage, 'Cyton(seton)' that ties rubber bands through the anal fistula to tie the anal fistula passing through the sphincter to prevent the stool from progressing to the outer sphincter, and to improve the anal fistula.
Professor Yoon Soon-seok of colorectal surgery at Korea University Ansan Hospital said, "Since treatment through early detection is most desirable as there is no clear preventive measure at present, it is better to visit a hospital immediately when showing related symptoms. In case of complicated anal fistula, there are many forms of occurrence such as internal sphincter, penetration of internal sphincter, penetration of external sphincter, circulation of external sphincter, hoof type, etc., so it should be conducted after sufficient consultation with a specialist as it requires sophisticated planning and skilled skills," he said.
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This article was translated by Naver AI translator.
