The best treatment for anal fistula?

The goal of anal fistula treatment is to minimize sphincter damage and eliminate the internal orifice of the fistula and any connected epithelialized fistulae.1, external treatment: sitz baths with decongestive and pain-relieving lotions, and topical application of gold cream.2, the use of anti-inflammatory medication, anti-inflammatory drugs can be used in the acute exacerbation period, but usually not more than a week. The principle of the surgical way of treatment is to cut all the fistula, if necessary, the scar tissue around the fistula at the same time excision, so that the wound from the base upward gradually healing. According to the fistula depth, curvature, can choose hanging line therapy, anal fistula cut or excision. A small number of fistula excision after a period of suture or free skin grafting. Anal fistula is a common anorectal disease, mainly due to perianal abscess caused by the disease. Treatment includes drug treatment and surgical treatment. Surgical treatment is generally the mainstay, supplemented by drugs. Surgery includes fistulotomy, hanging line treatment, anal fistula resection and so on. Minimally invasive techniques can also be used to treat anal fistula. The choice of what kind of surgical method depends on the type of anal fistula of the patient, it is recommended to improve the relevant examination first, to find out the type of anal fistula before choosing the appropriate method of treatment. Domestic treatment of simple low fistula surgical methods are similar, that is, the fistula inside and outside the mouth all cut, so that the wound is completely open, and then after the change of medicine to make the wound to heal. Treatment of low complex fistula, high anal fistula due to differences in surgical level and there is a big difference. In some cases, the treatment of low-level complex fistula is to cut all the external orifices and ducts. In this way, the wound is healed, but the pain and paralyzing scars after surgery are enormous. In contrast, the traditional method of hanging wire surgery is used to treat all kinds of high anal fistulas, which is safe and reliable, but the hanging wire surgery also has the same problems similar to the traditional surgical methods. In addition, hanging wire surgery is prone to recurrence and cause anal groove-like defects.