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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.
Case description. This video shows laparoscopic management of chronic gastrocutaneous fistula to a 38 year old male after partial gastrectomy and gastrojejunostomy. A gastrocutaneous fistula (GCF) represents a fistula connecting the stomach and the skin. By definition, it consists of an internal orifice (gastric outlet), an external orifice (cutaneous outlet) and a tract (usually covered by epithelium).