WITHDRAWN: Anal Fistula with Multiple External Openings: A Case Report Successful Treatment Through Fistulectomy and Sphincteroplasty Integration “Case Report”

Abstract

Background Complex anal fistulas with multiple openings are rare and difficult to treat. Hence, it is necessary to choose appropriate surgical treatment and ensure the sphincter reconstruction to avoid postoperative complications. Method In this study, a 23-year-old man was presented with fistula-in-ano with three external openings and no internal opening. Confirmation of the findings was obtained through magnetic resonance (MR) fistulography. Treatment consisted of fistulectomy in conjunction with laser ablation. External sphincteroplasty was conducted using vicryl 2 − 0 absorbable sutures. Results The patient was discharged the next day after surgery and followed up for 8 weeks without experiencing any postoperative complications Conclusion Combining fistulectomy with sphincteroplasty could offer a more effective and safer treatment approach for complex fistulas.