Causes of operative failure

Mohammad Ali Abbass, Maher Aref Abbas*

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations


Anal fistula is one of the commonest benign anorectal conditions treated by colorectal and general surgeons. The majority of patients with anal fistula require operative treatment for healing. The goal of surgical intervention is to eradicate the disease, preserve continence, minimize postoperative complications, and prevent recurrence. Three factors determine the outcome of patients with anal fistula: fistula-related characteristics, patient-related features, and surgical factors. While anal fistulas heal in most patients following one or two surgical interventions, some fistulas persist. Failure of surgical intervention is costly, can result in multiple additional interventions, can negatively impact the patient quality of life, and can lead to complications, disability, and potentially alteration of the patient's continence. A thorough understanding of the factors that impact success or failure and complications of anal fistula surgery is of paramount importance to surgeons treating this condition.

Original languageEnglish (US)
Title of host publicationAnal Fistula
Subtitle of host publicationPrinciples and Management
PublisherSpringer New York
Number of pages13
ISBN (Electronic)9781461490142
ISBN (Print)1461490138, 9781461490135
StatePublished - Nov 1 2013
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine


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