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Horseshoe fistula is one of the most. complex and potentially morbid. conditions faced in a modern anorectal. surgery. Hanley, 1965 reported his. original procedure for horseshoe fistula. which involved complete division of the. posterior 12 o'clock sphincter mechanism.
Fistula: An abnormal passageway in the body. The fistula may go from the body surface into a blindpouch or into an internal organ or go between two internal organs. For a common example, an anal fistula has an opening in the skin near the anus that leads into a blind pouch or may connect through a tunnel with the rectal canal. For a rare example, a gastropericardial fistula is a passageway between the stomach and the pericardial sac (that surrounds the heart). There are numerous types of fistulas or (if you like the proper Latin plural) fistula.