Royal Bolan college of nursing
Quetta Balochistan
Subject: Adult health nursing
Presented to: Ma’am Sadia.
Topic: Anal fistula.
Group: 06
Presented by: Farhan, jameel ahmed, Fahad Noor, Abdul sami, Nasir .
Objectives
Define anal fistula
Explain anatomy and physiology of a anus
Define classification of a anal fistula
Discribe the risk factor of anal fistula
Discusse the physical examination of a fistulla
Explain the treatment of fistula
Summary.
An anal fistula — also called fistula-in-ano — is a tunnel that develops
between the inside of the anus and the outside skin around the anus.
The anus is the muscular opening at the end of the digestive tract
where stool exits the body. Most anal fistulas are the result of an
infection that starts in an anal gland.
Reference
Ewerth S, Ahlberg J, Collste G, Holmström B. Fistulain-ano. A six year follow up study
of 143 operated patients. Acta Chir Scand Suppl 1978;482:53–5. [PubMed]
[Link] P. Fistula-in-ano in a defined population. Incidence and epidemiological
aspects. Ann Chir Gynaecol 1984;73:219–24.
[PubMed]
[Link] PJGR, Keighley MRB, Alexander-Williams J. Fistula-in-ano is usually easy to
treat surgically. Int J Colorect Dis 1986;1:[Link]-Aguilar J, Belmonte C, Wong WD,
Goldberg SM, Madoff RD. Anal fistula surgery. Factors associated with recurrence
and incontinence. Dis Colon Rectum 1996;39:723–9. 10.1007/BF02054434 [PubMed]
[CrossRef][Link] PJ, Kamm MA, Phillips RK. Factors affecting continence after
surgery for anal fistula. Br J Surg 1994;81:1382–5. 10.1002/bjs.1800810947
[PubMed] [CrossRef]