A CLINICO.PATHOLOGICAL STUDY OF ANAL FISTULAE

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Anal Fbtula R*iew oJLiterature Srilrrl pohl ol pcilrttttl l7utvadr+ F.rhral dilGll lubilcrlle htdrsl.|| Affico6oyo.d ffirbr.r ilrr|cli lortrnt l-*T { *'s. t Vrshr , h€hlopuslc rrdra Eclbdcrfiliott|| nt ttL ht.rb. trtcla ol rroCtn||al CaF{tltgn Pdlnl rf pal|l||rl ErlTtrrl rDHdctrt ol rnrl ctial Fig. (5): The levator ani muscles ArccocE gill lgtrfrtnl + $ymphyttc publt Fuboraalrflr muroh # Fig (6): Puborectalis muscle. Anorectal ring Aggregation of circular muscles firstly described by (MilliGan and MorrGan, Ig34) lies at the anorectal Junction composed of * aggregation of LA.s., E.A.s. and puborectalis sling forming strong ring weak anteriorly.
Anal Flrula Review af Llterature It can be felt digitally as an abruptly terrrinated posterior edge above which the cavity of rectum is felt. + Anococcygeal Raphi fr Layered musclotendinoustructure in mid line between'anorecfum and coccyx from above downward its layers are . Presacral fascia . Tendinous plate ofpubococcygus. . Muscularaphe of puborectalis and E.A.S (Wendell-smith& Wikon 1977) Para-anal and Para-rectal Spaces: There are several important potential spaces in the anor€ctal region that have surgical relevance. t The apex of the ischiorectal space is at the origin of the lsvator ani mu$cles frorn the obturator fascia Fig.(7,9). This space is bounded inferiorly by the perineal skin, anteriorly by the transverse muscles of the perineum posteriorly by sacrotuberous ligament and gluteus maximus muscle, medially by the EAS and levator ani, and laterally by the external obturator muscle t In the lateral wall of this space is Alcock's canal through which the pudendal vessels and nerves course. There is a potential extension of this space anteriorly, which courses above tlre urogenital diapluagm. The contents of this space include fat, the inferior hemorrhoidal vessels and newes, and the scrotal or labial vEssels. rl
Page 1 and 2: 9ttV A CLINICO.PATHOLOGICAL STUDY O
Page 3 and 4: ABSTRACT The abscess-fistula sequen
Page 5 and 6: ACKNOWLEDGMENT I ,a f This work was
Page 7 and 8: List of Tables Table Table (l): Cli
Page 9 and 10: Fig. (12): Typei of Intersphincteri
Page 11 and 12: Anal Fhtula Inlroduction & Ain of W
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AnalFbtula Materials & Methods * Sa
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Anal Flstula Materials & Methods t
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Anal Fhtula Materials & Methods t n
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Anal Flstula rte,nr/rs A* preoperat
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Re.fl/fts B- Endoanal sonography wa
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Analtktula Re.flrlts 4- At operatio
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.Resu//s I + Fig 22: High power of
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tesz/rl I I t Fig 24: An immuno$tai
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Resrlts # Fig 28: An immunostaining
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Anal Fbtula .Rcsulrs The disfributi
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Anal Fbtula DJscussion DISCUSSION s
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Anal Fl$tula Dr'scusslon t Serum Cy
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Anal Fhtula Disczsslon * Further ve
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Anal Fbtula Summary SUMMARY The aim
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Anal Fbtula Summary t Further verif
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AnalFlrtula Relervnws Balthezar, 8,
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Anal Ftoh References Culpepper-Morg
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AnalFbtula References infection in
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AnalFbtuh Relerences Goldberg, S.M.
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AnalFlstula References Jackman, R.J
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Anal Flstula Refercnces Mercusen, D
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Anal Fbtuh References in patients w
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Anal'Flstula References Rubin, R.H.
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Anal Flstula , References Vasilevsk
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A CLINICO.PATHOLOGICAL STUDY OF ANAL FISTULAE

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