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Renjie Shi - Diagnosis and Treatment of Anal Fistula

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Renjie Shi Diagnosis and Treatment of Anal Fistula

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This book offers an interdisciplinary reference for diagnosis and treatment of anal fistula. First chapters provide state of the art review of anatomy, etiology, sign and symptoms, medical findings and differential diagnosis of anal fistula. The following chapters cover surgical and non-surgical treatment of anal fistula. Other important chapter presents diagnosis and treatment of special anal fistula, including anal fistula of Crohns disease, anal fistula in infants, tuberculous anal fistula, and anal fistula associated with AIDS. It will appeal to proctologists and surgeons in gastroenterology.

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Book cover of Diagnosis and Treatment of Anal Fistula Editors Renjie Shi - photo 1
Book cover of Diagnosis and Treatment of Anal Fistula
Editors
Renjie Shi and Lihua Zheng
Diagnosis and Treatment of Anal Fistula
1st ed. 2021
Logo of the publisher Logo of the publisher Editors Renjie Shi - photo 2
Logo of the publisher
Logo of the publisher Editors Renjie Shi Department of Anorectal Surgery - photo 3
Logo of the publisher
Editors
Renjie Shi
Department of Anorectal Surgery, Affiliated Hospital of Nanjing, University of Traditional Chinese Medicine, Nanjing, Jiangsu, China
Lihua Zheng
Department of Proctology, China-Japan Friendship Hospital, Beijing, China
ISBN 978-981-16-5803-7 e-ISBN 978-981-16-5804-4
https://doi.org/10.1007/978-981-16-5804-4

Jointly published with Chemical Industry Press

The print edition is not for sale in China (Mainland). Customers from China (Mainland) please order the print book from: Chemical Industry Press.

Chemical Industry Press 2021
This work is subject to copyright. All rights are reserved by the Publishers, whether the whole or part of the material is concerned, specifically the rights of reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.
The publishers, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publishers nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publishers remain neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This Springer imprint is published by the registered company Springer Nature Singapore Pte Ltd.

The registered company address is: 152 Beach Road, #21-01/04 Gateway East, Singapore 189721, Singapore

Preface

This book deals with the diagnosis and treatment of anal fistula, a difficult anorectal disease. This book is an elaboration and discussion on the history of anal fistula, anatomy and physiology related to anal fistula, etiology and pathology of anal fistula, examination, diagnosis, treatment principles, surgical procedures and their evaluation, conservative treatments, academic disputes, and other aspects. The research and progress of the diagnosis and treatment of anal fistula at home and abroad are comprehensively and deeply expounded on. It contains the authors long-term research accumulation and clinical experience. This book provides an overview of both the history and current situation of the disease, pays close attention to new research trends, combines closely with clinical practice, is comprehensive in content and rich in information, and has excellent practicability. It is suitable for all researchers, graduate students, and clinical medical personnel engaged in anorectal specialty to learn from and reference.

Renjie Shi
Lihua Zheng
Nanjing, China Beijing, China
Acknowledgements

I would like to thank Joanna song (Oxon) and Junfang song for their help in language edit. I also would like to thank my family for their support, especially my daughter Yunyang Shi, for her help in language edit.

Contents
Renjie Shi and Feng Jiang
Renjie Shi , Dong Yang and Min Zhang
Renjie Shi , Feng Jiang and XiaYong Yang
Renjie Shi and Hongsheng Mao
Renjie Shi and Lihua Liu
Renjie Shi and JinHui Gu
Renjie Shi and Lihua Zheng
Renjie Shi and Lihua Zheng
Renjie Shi and YiXin Zhang
Renjie Shi and Fang Liu
Renjie Shi and Yu He
Contributors
Jinhui Gu
Suzhou Hospital of Traditional Chinese Medicine, Affiliated to Nanjing University of Chinese Medicine, Suzhou, Jiangsu, China
Yu He
Peoples Hospital of Suzhow New District Hospital, Suzhou, Jiangsu, China
Feng Jiang
Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, Jiangsu, China
Fang Liu
Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China
Lihua Liu
Nanjing Jiangbei Hospital, Nanjing, Jiangsu, China
Hongsheng Mao
Jingjiang Peoples Hospital, Jingjiang, Jiangsu, China
Renjie Shi
Department of Anorectal Surgery, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, Jiangsu, China
Dong Yang
Affiliated Lianyungang Hospital of Xuzhou Medical University, Lianyungang, Jiangsu, China
Xiayong Yang
Taizhou Hospital of Traditional Chinese Medicine, Taizhou, Jiangsu, China
Min Zhang
Peoples Hospital of Deyang, Deyang, Sichuan, China
Yixin Zhang
Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China
Lihua Zheng
Department of Proctology, China-Japan Friendship Hospital, Beijing, China
Chemical Industry Press 2021
R. Shi, L. Zheng (eds.) Diagnosis and Treatment of Anal Fistula https://doi.org/10.1007/978-981-16-5804-4_1
1. History of Cognition and Treatment of Anal Fistula
Renjie Shi
(1)
Department of Anorectal Surgery, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, Jiangsu, China
(2)
Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, Jiangsu, China
Abstract

The names of anal fistula and perianal abscess have been recorded in Chinese literature more than 2000 years ago. For the treatment of anal fistula, historical documents of anal fistulectomy and internal medication could be found. In the Sui Dynasty, it was believed that the cause of anal fistula was related to the body as a whole. The treatment method of inserting medicine into fistulas to corrode fistulas was proposed in the Song Dynasty. In the Yuan Dynasty, the seton therapy of anal fistula based on gravity and medicated thread was developed. Since then, this therapy has been continuously improved and optimized in terms of materials and methods and is still widely used in clinical practice at present. Modern medicine has recognized the etiology, examination methods, and treatment principles of anal fistula since the time of Hippocrates more than 2000 years ago. However, the role of the anal gland in the pathogenesis and treatment of anal fistula was not recognized until 1958, and it has been possible to cure anal fistula since then. Currently, the treatment of anal fistula is developing in the direction of protecting anal function and improving the cure rate.

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