A CLINICO.PATHOLOGICAL STUDY OF ANAL FISTULAE

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Anal Fbtula Review of Lileralure gup.tlty.tor I i Intrrrphthot.rf ||chlorc€t11 rl Pcrltnrf rplcr Fig (9): Coronal diagram of the para-rectal and para-anal spaces illustrating how an abscess can track posteriorly from one lateral space to gain access to contralateral space. t Blood Supnlv The major arterial blood supply,to rectum and anal canal is provided by superior and inferior hemonhoidal arteries whereas the middle rectal artery has variable contribution depending on the size of superior rectal artery Venous drainage l Venous drainage of rectum and anal canal runs with arterial supply, f)rainage tluough superior hemonhoidal vein is into the portal system, Drainage through middle, inferior hemorrhoidal veins is into internal iliac veins to inferior vena cave i.e. svstemrc I There are free anastomosis between all of these venous channels.
Anal Fhtula Reviev, of Literatwe LYmphatic drainage 'Recfitttt t Upper 213 of rectum ascends with superior rectal vessels to reach inferior mesenteric nodes. Lowerl/3 drains not only into inferior mesenteric nodes but also into intemal iliac nodes. * Anal canal Above dentate line like lower l/3 of rectum Below dentate line to inguinal lymph nodes but can be to inferior mesefiteric nodes and nodes along inferior hemorrhoidal anery. + Nerve supply I,A.S. r Motor supply is sympathetic L5 and parasympathetic 52, 53 and 54. r Tone is mediated by both sympathetic and parasympathetic. r Contraction is predominantly sympathetically mediated. r Relaxation of I.A.S. is part of intramural reflex. r Distention of rectal wall above anorectal ring leads to relaxation of I.A.S. + c'.1..f. r Motor supply is pudendal newe (S2, 53) and perineal branch of s4. l5
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
Page 13 and 14: AnalFbtula Review of Literature Fb.
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Page 63 and 64: Anal Fhtula Materials & Methods MAT
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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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