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Anorectal abscess fistula: what do we know?

      It is possible that no condition has been written about more by surgeons over the expanse of time and world geography than anorectal abscess and fistula [
      • Sankaran P.S.
      Sushruta's contribution to surgery.
      ,
      • Ani An
      Anorectal diseases in western Nigerian adults. A field study.
      ,
      • Navruzov S.N.
      • Dul'tsev IV,
      • Salamov K.N.
      Causes and prevention of rectal fistula recurrences.
      ,
      • Akinola D.O.
      • Hamed A.D.
      Fistula in ano in Nigerians.
      ]. This broad concern is a testament both to the prevalent nature of these disorders and the difficulty they present to the surgeon in basic decision making. The reasons for these difficult decisions are obvious. It is necessary to resolve sepsis and symptoms associated with it, principally pain, and yet the procedures that one employs must also preserve function in the anal canal; that is, prevent incontinence.
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