Clin Colon Rectal Surg 2016; 29(01): 043-049
DOI: 10.1055/s-0035-1570392
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Management of Complex Anal Fistulas

Emily J. Bubbers
1  St. Peter's Hospital, Helena, Montana
Kyle G. Cologne
2  Division of Colorectal Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California
› Author Affiliations
Further Information

Publication History

Publication Date:
16 February 2016 (online)


Complex anal fistulas require careful evaluation. Prior to any attempts at definitive repair, the anatomy must be well defined and the sepsis resolved. Several muscle-sparing approaches to anal fistula are appropriate, and are often catered to the patient based on their presentation and previous repairs. Emerging technologies show promise for fistula repair, but lack long-term data.