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Niedergang und Ende der Wissenschaften,tissue layers and active muscular layers of the pelvic floor. It is surrounded by a layer of adipose tissue that sits within the ischioanal fossae. Mucin secreting anal glands sit within the submucosal and intersphincteric spaces. This arrangement is central to understanding the etiology of perianal sepsis and fistulas.antipsychotic 发表于 2025-3-24 00:55:28
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https://doi.org/10.1007/978-3-7618-7278-9s, fistulotomy, ligation of intersphincteric tract, transabdominal approaches, advancement flaps, and episioproctotomy. When these approaches fail, patients may require more complex procedures to include muscle interposition flaps. Three of the most commonly used flaps are the gracilis interpositionAccord 发表于 2025-3-24 13:44:16
Die Entstehung der Wissenschaften,d standard for the diagnosis of a leak. Some clinical tools such as the DULK score may help physician through diagnosis and treatment. Once the leak is diagnosed, a number of treatments is available, from nonoperative management to endoscopy and surgery. Frequently, if not already present a stoma fo尊严 发表于 2025-3-24 15:27:28
https://doi.org/10.1007/3-540-27707-2e, in selected patients it is recommended the anorectal physiology preoperative assessment making the patients aware of their own conditions and helping the surgeon to choose the best surgical approach considering also the subsequent functional outcomes.伸展 发表于 2025-3-24 21:10:37
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Wissenschaften, Technologie und Wirtschaft,hey did not guide the management of the disease. In the last decade, a new classification known as Garg classification tried to remove this major drawback. This classification divided fistulas primarily as low (involving less than one-thirds of the external sphincter) and high (involving more than o