Fistula in Ano: The Place of Rectal Advancement Flap Technique

Classical surgical techniques for anal trans- or suprasphincteric fistulas imply the division of the sphincters likely to induce postoperative continence impairment. The rectal advancement flap technique achieves healing of the fistula in a significant number of patients, while avoiding any sphincter division, and therefore the development of further incontinence.