Reverse “Y” Shape Fistula - a Paricularity in the Evolution of Postanal Space Abscesses

Ion, Daniel; MuȘat, Florentina; Bolocan, Alexandra; Socea, Bogdan; Andronic, Octavian; Păduraru, Dan Nicolae

Daniel Ion, Florentina MuȘat, Alexandra Bolocan, Bogdan Socea, Octavian Andronic, Dan Nicolae Păduraru

Reverse “Y” Shape Fistula - a Paricularity in the Evolution of Postanal Space Abscesses

Abstract:

Horseshoe fistula, with an incidence of less than 3% of the total perianal fistulas, is an atypical lesion not included in the classification of Parks. Its specificity is given by the anatomical features of the postanal space, respectively the presence of the anococcygeal ligament. This type of perineal fistula has a particular tract in shape of a reverse „Y”. We present the cases of 12 patient diagnosed with posterior horseshoe fistula with deep postanal space abscess surgically treated during 2013-2017. The study is retrospective and observative and it includes the history of the disease, the diagnostic methods, the surgical procedures performed and the postoperative evolution. As far as we are concerned, we based our approach on the advancement flap literature data, as well as on the role of the anococcygeal ligament in the pathology of this lesion type. After optimal control of the purulent collection from the postanal space and after the remission of local inflammatory phenomena, a correct advancement flap technique succeeds most often to resolve the septic area of the crypt of origin. We believe that current standards on the functional outcomes of these types of lesions require techniques that avoid the slow elastic cutting of the sphincter, minimizing the risk of incontinence.

Keywords:
postanal space abscess; anococcygeal ligament; horseshoe fistula; advancement flap

Issue: 2019, Volume 70, Issue 12

Pages: 4504-4506

Publication date: 2020/1/20

https://doi.org/10.37358/RC.19.12.7784

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This article is published under the Creative Commons Attribution 4.0 International License

Citation Styles

Cite this article as:
ION, D., MUȘAT, F., BOLOCAN, A., SOCEA, B., ANDRONIC, O., PĂDURARU, D.N., Reverse “Y” Shape Fistula - a Paricularity in the Evolution of Postanal Space Abscesses, Rev. Chim., 70(12), 2019, 4504-4506.

Vancouver
Ion D, MuȘat F, Bolocan A, Socea B, Andronic O, Păduraru DN. Reverse “Y” Shape Fistula - a Paricularity in the Evolution of Postanal Space Abscesses. Rev. Chim.[internet]. 2019 Dec;70(12):4504-4506. Available from: https://doi.org/10.37358/RC.19.12.7784

APA 6th edition
Ion, D., MuȘat, F., Bolocan, A., Socea, B., Andronic, O. & Păduraru, D.N. (2019). Reverse “Y” Shape Fistula - a Paricularity in the Evolution of Postanal Space Abscesses. Revista de Chimie, 70(12), 4504-4506. https://doi.org/10.37358/RC.19.12.7784

Harvard
Ion, D., MuȘat, F., Bolocan, A., Socea, B., Andronic, O., Păduraru, D.N. (2019). 'Reverse “Y” Shape Fistula - a Paricularity in the Evolution of Postanal Space Abscesses', Revista de Chimie, 70(12), pp. 4504-4506. https://doi.org/10.37358/RC.19.12.7784

IEEE
D. Ion, F. MuȘat, A. Bolocan, B. Socea, O. Andronic, D.N. Păduraru, "Reverse “Y” Shape Fistula - a Paricularity in the Evolution of Postanal Space Abscesses". Revista de Chimie, vol. 70, no. 12, pp. 4504-4506, 2019. [online]. https://doi.org/10.37358/RC.19.12.7784

Text
Daniel Ion, Florentina MuȘat, Alexandra Bolocan, Bogdan Socea, Octavian Andronic, Dan Nicolae Păduraru,
Reverse “Y” Shape Fistula - a Paricularity in the Evolution of Postanal Space Abscesses,
Revista de Chimie,
Volume 70, Issue 12,
2019,
Pages 4504-4506,
ISSN 2668-8212,
https://doi.org/10.37358/RC.19.12.7784.
(https://revistadechimie.ro/Articles.asp?ID=7784)
Keywords: postanal space abscess; anococcygeal ligament; horseshoe fistula; advancement flap

RIS
TY - JOUR
T1 - Reverse “Y” Shape Fistula - a Paricularity in the Evolution of Postanal Space Abscesses
A1 - Ion, Daniel
A2 - MuȘat, Florentina
A3 - Bolocan, Alexandra
A4 - Socea, Bogdan
A5 - Andronic, Octavian
A6 - Păduraru, Dan Nicolae
JF - Revista de Chimie
JO - Rev. Chim.
PB - Revista de Chimie SRL
SN - 2668-8212
Y1 - 2019
VL - 70
IS - 12
SP - 4504
EP - 4506
UR - https://doi.org/10.37358/RC.19.12.7784
KW - postanal space abscess; anococcygeal ligament; horseshoe fistula; advancement flap
ER -

BibTex
@article{RevCh2019P4504,
author = {Ion Daniel and MuȘat Florentina and Bolocan Alexandra and Socea Bogdan and Andronic Octavian and Păduraru Dan Nicolae},
title = {Reverse “Y” Shape Fistula - a Paricularity in the Evolution of Postanal Space Abscesses},
journal = {Revista de Chimie},
volume = {70},
number = {12},
pages = {4504-4506},
year = {2019},
issn = {2668-8212},
doi = {https://doi.org/10.37358/RC.19.12.7784},
url = {https://revistadechimie.ro/Articles.asp?ID=7784}
}

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