ANORECTAL FISTULECTOMY WITH GRACILIS MYCOCUTANEOUS FLAP REPAIR
Louis B. Shaevel*, Justin Maykel
University of Massachusetts Chan Medical School TH Chan School of Medicine, Worcester, MA
We present a 62-year-old male with a ten-year history of a complex fistula-in-ano leading to chronic purulent drainage. MRI showed a high blind tract extending from the perianal skin to the levator muscles and examination under anesthesia failed to reveal any communication with the anal canal or rectum. With limited options, we opted to perform a wide excision of the chronic tract and cavity. The defect was filled with healthy muscle harvested from the right thigh and skin was closed primarily.
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