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October 24, 1931


Author Affiliations


From the Section on Proctology, the Mayo Clinic.

JAMA. 1931;97(17):1208-1212. doi:10.1001/jama.1931.02730170020007

It is my purpose to present information based on the records of consecutive cases in which fistulectomy has been performed, and to outline a few principles of value on the surgical treatment of anal fistula. The types of fistulas, the course of the tracts, the preoperative preparation of the patient and the sedatives and anesthesia employed have been described previously1 and will not be considered here. This study tends to establish the truth of information concerning anal fistulas instead of bringing out any new facts.

It is customary at the Mayo Clinic to perform proctoscopic and sigmoidoscopic examination in all cases in which evidence is disclosed, either in the history or by general examination, of disordered function of the anus, rectum or colon. Approximately 9 per cent of the patients who register at the clinic complain of anal, rectal and colonic disorders. A little more than 5 per cent