Clinical guidelines updated for management of anorectal abscess, fistula-in-ano, and rectovaginal fistula<\/strong><\/p>\n<\/h3>\n <\/b><\/p>\n <\/b><\/p>\n \n\tWEDNESDAY, Aug. 10, 2022 (HealthDay News) — In clinical practice guidelines issued by the American Society of Colon and Rectal Surgeons and published in the August issue of Diseases of the Colon & Rectum<\/em>, updated recommendations are presented for the management of anorectal abscess, fistula-in-ano, and rectovaginal fistula.<\/em>\n<\/p>\n \n\tAfter reviewing the literature, Wolfgang B. Gaertner, M.D., from the University of Minnesota in Minneapolis, and colleagues included three new and six updated recommendations in the new guidelines. A new recommendation is that a combination of surgical and medical approaches is recommended for the typical management of anorectal fistula associated with Crohn disease (strong recommendation based on moderate-quality evidence). Among the updated recommendations, the anal fistula plug and fibrin glue are relatively ineffective treatments for fistula-in-ano (strong recommendation based on moderate-quality evidence). For fistula-in-ano associated with Crohn disease, endorectal advancement flaps and the LIFT procedure may be used for treatment (strong recommendation based on moderate-quality evidence). In its entirety, the updated guideline contains 25 recommendations.\n<\/p>\n \n\t“The ultimate judgment regarding the propriety of any specific procedure must be made by the physician considering all the circumstances presented by the individual patient,” the authors write.\n<\/p>\n \n\tTwo authors disclosed financial ties to the pharmaceutical and medical device industries.\n<\/p>\n