Fistula anal Flashcards by Raúl Chavez

Q

FR mas importante

A

Antecedente de drenaje de absceso

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Q

Clasificacion de Parks

A

1 Interesfinterica (perianal)
2 Transesfinterica (isquiorrectal)
3 Supraesfinterica (interesfinterica)
4 Extraesfinterica (supraelevador)

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Q

Clinica

A

– Drenaje persistente purulento o hematopurulento
– Dolor
– Trayectos fistulosos como “cordón”

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Q

Dx

A

Elección: USG endoanal
Gold standart: RM

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Q

Escala para avlorar continencia

A

Wexner (> 0 se realiza manometria)

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Q

Tx

A

Simples: fistolotomia con marsupialización
Complejas y con incontinencia: colgajos endoanales, o setones

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