Anal Fistulas Lecture for USMLE Step 2

[@sarahsalman7048]

I wish we had a prof. Like u 😭 Really informative videos .

[@bomhayhay]

Thanks a lot!!! it really helps me , it’s better than reading... please continue

[@sadmad472]

thank you thank you thank you million times for making it easier and i was hating this disease and felt lost but after watching ur great and simple explain i loved it so much thank u my teacher i have exam about it after tomorrow pray for me🙏

[@cvicunha]

Very interesting and informative video for managing this pathology, Thank you very much!!

[@DeepakKumar-os2wg]

best lecture on anorectal fisstula

[@aci.]

Thanks, excellent explanation and illustrations!

[@aanchalgupta5005]

Your lectures are extremely helpful!

[@russellsutter1369]

I just had a superficial fistulotomy... Interesting and reassuring I had it easy.. Great video.

[@ricsi137]

Thanks for the wonderful video.You have made it so easy to understand.You are an excellent teacher.

[@kareemhamada47]

Thank you for your great demonstration u made it so simple and easy

[@drdb4590]

Thank you for your effort to make this topic simple

[@jawaher2012]

very simple and informative , thank you so much

[@mohammadfozail5797]

You have explained it very well.. Thank you ! 🖤

[@MoMo-cr1mi]

This was so brief and conclusive.. thanks alot ❤️❤️

[@mujtabaalawadi]

Thank you so much, really awesome helpful explanation.

[@stiwisimon5347]

perfect explanation mate. apriciated and many thanks

[@natashaniaz7075]

Thanks for making this topic so simple

[@thestudyspot]

+Natasha Niaz No problem. Glad you found it beneficial.

[@amalramadan8995]

wonderfull explanation thank you sooo much

[@SahibaMushtaq]

This video is superb!!!

[@paramvaidya]

Excellent. Thank you.

[@nadiaseid1137]

This was beautiful thank you !

[@ayurhealth4296]

Great explanation sir thanks u so much

[@kiranfatima491]

you made this lecture easier for me, thank you so much 😃

[@DeepakKumar-os2wg]

Kiran Fatima true

[@kabitamanandhar5238]

Nice one, helped alot

[@HafizahHoshni]

thanks a lot for amazing video!!!! 😄

[@sahibarafi1444]

thanks ....very helpful

[@sandramartin7226]

great video thankyou

[@TheKappyjames]

Thank you sooooooo much. This video was super informative! I've been scared that I may need surgery for this. I had an MRI, but thankfully now that i know an intersphincteric fistula is a simple one, this thing should be a breeze! THANK YOU!

[@ranaarshi6301]

How r u now

[@TheKappyjames]

I had the minor surgery back in late 2020 or early 2021 (its all been a blur). It went very smooth though - barely had any pain. They essentially opened it up and stuffed tape in it. The first BM hurt, but beyond that my recovery went well. I'm on stelara now because it was determined after a colonoscopy that I have Crohn's Disease. I haven't had any reemergence of the fistula since the surgery, which is good, but the Crohn's battle has been a tough one as my life revolves around the bathroom now. All in all, I'm confident I'm on the right track. Thanks for asking!

[@Wvk5zc]

I would love to hear you talk about LIFT as well if possible

[@khaerloe08]

Thank you!

[@user-mr3iv7bj6n]

thank u alot ur amazing

[@siraksleepmastersiraksleep9814]

thanks for the video

[@santosparajuli1995]

Nice presentation 👍👍

[@user-tn8ju7qi1b]

many thanks♥

[@rockandblues3635]

Very good video

[@tariqhassan7306]

Thank u so much.

[@rayblade6383]

Excellent video, very well explained. Thanks

[@thestudyspot]

+Ray Blade Your Welcome

[@priyangaravi2351]

thanks a lot ...sir ...

[@brokenangel6193]

Thanks so much 😊

[@Drsaqib786]

Amazing

[@marwankadhim3772]

TY so much

[@loveandservehumanity2742]

Excellent

[@musaal-harbi2569]

Dear what is the name of program that you use in this lecture

[@HafizahHoshni]

thank youuuu!

[@belindachin3124]

Dear sir, i like all your videos! Im a medical student from Malaysia, currently struggling with studying anal disorders !!! But you saved my life!

[@idamarwick5983]

This is such a good video and so helpful, I learned a lot, but I find it really strange that you go through the classification scheme describing the common to rare fistulas but its not until you start talking about management that you mention rectovaginal fistulas - women are 50% of the population so is a rectovaginal fistula more rare than an extra sphincteric fistula? How common is it in women? How does it form?

[@nawrassabah5291]

Thank you you are amazing

[@thestudyspot]

+Nawras Sabah You welcome. Thank you. I am glad you found my video helpful

[@shubhamlagyan7589]

thankyou so much! but o think you swapped between extrasphincteric and suprasphincteric types source bailey

[@gayathrisakthivel3511]

advancement flap part is little complex to understand.. can u make it easy pls?

[@evapianista2835]

You saved me

[@samvirk1290]

good

[@pushpakhadka6988]

👌👌

[@vasanthikaravatt3830]

What are the complications if fistula is not repaired?

[@traceyeggers7627]

It's been 5 years since this video was uploaded. Has there been any advancement in either the Seton or Flap surgery that makes the Flap one the better choice. I just had a seton surgery 3 days ago and after watching this I am rather defeated...

[@ranaarshi6301]

How r u now

[@ombewook3624]

Ada bahasa Indonesianya ga? Sy sdh 3 tahun dan colostomy saat ini sdh 9 bulan belum sembuh juga. Tangerang Selatan indonesia

[@samratmandal2669]

I am effect anal two side fistula,,,what I will do?

[@SuperPerfectEnglish]

Good presentation but some imprecision 1. The anal glands that open in the columns of Morgagni are located in the Intersphinteric space. Obstruction of the tract is thought to be first step of pathogens 2.More appropriate to talk about ischioanal fossa 3 Goodsall rule: better show a picture in lithotomy and you missed the fact that the rule is not valid if distance from the verge is more than 3 cm 4. An abscess doesn’t heal ..but resolves 5. You generally don’t use fibrin sealants for low fistula: you do fistulotomy or fistulectomy 6. Complex fistulae include mid and high fistulae 7. After fistulotomy you don’t stitch it back...some, not me, put stitches around to marsupialize 8. There’s also the loose seton. The cutting seton that you were describing is tightened every week or so when it becomes loose.generally you don’t tie the same but you insert a few untied , to be tied later

[@abutalhapurkait9604]

Very helpful! but narration needs to be more clear and flawless!

[@Wvk5zc]

I hate fistula! But thx for this educational video

[@modestonieves5792]

I have 2 of them very painful

[@emmnauelphiri7218]

Same

[@doctor.sonu14]

Actinomycosis is a bacteria ...as he said ??

[@user-tg7pm5zg2c]

Sonu S Rajput .as I have studied.there is a bacterial type which produces blackish exudate and another fungal type whose exudate is not blackish

[@drwatson2682]

hello....sir can you please tell what is perirectal skin?....

[@thestudyspot]

+dr watson Thanks for pointing that out. I went back and looked at the source I got it from. I got that definition from an article on UpToDate and that's how it was mentioned there. "An anorectal fistula is the connection between two epithelial structures and connects the anal abscess from the infected anal crypt glands to the perirectal skin, and occasionally to other pelvic organs." When I read it, I took it as synonomous with peri-anal skin. But to be honest I am not sure what is the distinction between the two. If you can figure it out I would love to know. In the meantime if you understand it as peri-anal I think you should be okay.

[@rahulmallick1878]

Eputhelialized tract from anal canal not anus,anus is the external opening of anal canal.Just a small maybe insignificant correction

[@user-mp1uw3qj4u]

5:37

[@mazenbadawix6771]

anal fstula is a complication of anal abscess mostly acute not chronic radiation proctitis is a rare cause no pain in anal fistula unless obstructed and forming a new abscess fibrin is useless has high recurrence rate more than 90% seton either cutting or loose used in high anal fistula if done well has low recurrence rate advancement flap is tidious and failure rate is high

[@Nini-os2yv]

Sorry but this is so irritating anyway thanks

[@RomajaneAbrenio]

thank you for this 🫶