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Anal Fistulas Lecture for USMLE Step 2

Пікірлер: 79

  • @sarahsalman7048
    @sarahsalman70487 жыл бұрын

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

  • @sadmad472
    @sadmad4726 жыл бұрын

    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🙏

  • @bomhayhay
    @bomhayhay7 жыл бұрын

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

  • @russellsutter1369
    @russellsutter13698 жыл бұрын

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

  • @cvicunha
    @cvicunha8 жыл бұрын

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

  • @DeepakKumar-os2wg
    @DeepakKumar-os2wg6 жыл бұрын

    best lecture on anorectal fisstula

  • @ricsi137
    @ricsi1374 жыл бұрын

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

  • @MoMo-cr1mi
    @MoMo-cr1mi2 жыл бұрын

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

  • @aanchalgupta5005
    @aanchalgupta50056 жыл бұрын

    Your lectures are extremely helpful!

  • @drdb4590
    @drdb45904 жыл бұрын

    Thank you for your effort to make this topic simple

  • @aci.
    @aci.7 жыл бұрын

    Thanks, excellent explanation and illustrations!

  • @kareemhamada47
    @kareemhamada474 жыл бұрын

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

  • @mohammadfozail5797
    @mohammadfozail57974 жыл бұрын

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

  • @jawaher2012
    @jawaher20128 жыл бұрын

    very simple and informative , thank you so much

  • @stiwisimon5347
    @stiwisimon53475 жыл бұрын

    perfect explanation mate. apriciated and many thanks

  • @mujtabaalawadi
    @mujtabaalawadi6 жыл бұрын

    Thank you so much, really awesome helpful explanation.

  • @natashaniaz7075
    @natashaniaz70758 жыл бұрын

    Thanks for making this topic so simple

  • @thestudyspot

    @thestudyspot

    8 жыл бұрын

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

  • @amalramadan8995
    @amalramadan89958 жыл бұрын

    wonderfull explanation thank you sooo much

  • @SahibaMushtaq
    @SahibaMushtaq5 жыл бұрын

    This video is superb!!!

  • @kiranfatima491
    @kiranfatima4916 жыл бұрын

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

  • @DeepakKumar-os2wg

    @DeepakKumar-os2wg

    6 жыл бұрын

    Kiran Fatima true

  • @santosparajuli1995
    @santosparajuli19954 жыл бұрын

    Nice presentation 👍👍

  • @TheKappyjames
    @TheKappyjames4 жыл бұрын

    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

    @ranaarshi6301

    Жыл бұрын

    How r u now

  • @TheKappyjames

    @TheKappyjames

    Жыл бұрын

    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!

  • @ayurhealth4296
    @ayurhealth42965 жыл бұрын

    Great explanation sir thanks u so much

  • @Wvk5zc
    @Wvk5zc6 жыл бұрын

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

  • @musaal-harbi2569
    @musaal-harbi25697 жыл бұрын

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

  • @kabitamanandhar5238
    @kabitamanandhar52386 жыл бұрын

    Nice one, helped alot

  • @nadiaseid1137
    @nadiaseid1137 Жыл бұрын

    This was beautiful thank you !

  • @paramvaidya
    @paramvaidya7 жыл бұрын

    Excellent. Thank you.

  • @rayblade6383
    @rayblade63838 жыл бұрын

    Excellent video, very well explained. Thanks

  • @thestudyspot

    @thestudyspot

    8 жыл бұрын

    +Ray Blade Your Welcome

  • @gayathrisakthivel3511
    @gayathrisakthivel35117 жыл бұрын

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

  • @idamarwick5983
    @idamarwick59837 жыл бұрын

    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?

  • @sahibarafi1444
    @sahibarafi14447 жыл бұрын

    thanks ....very helpful

  • @sandramartin7226
    @sandramartin72268 жыл бұрын

    great video thankyou

  • @HafizahHoshni
    @HafizahHoshni7 жыл бұрын

    thanks a lot for amazing video!!!! 😄

  • @rockandblues3635
    @rockandblues36355 жыл бұрын

    Very good video

  • @vasanthikaravatt3830
    @vasanthikaravatt38304 жыл бұрын

    What are the complications if fistula is not repaired?

  • @shubhamlagyan7589
    @shubhamlagyan75896 жыл бұрын

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

  • @belindachin3124
    @belindachin31247 жыл бұрын

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

  • @user-mr3iv7bj6n
    @user-mr3iv7bj6n2 жыл бұрын

    thank u alot ur amazing

  • @siraksleepmastersiraksleep9814
    @siraksleepmastersiraksleep98145 жыл бұрын

    thanks for the video

  • @loveandservehumanity2742
    @loveandservehumanity27424 жыл бұрын

    Excellent

  • @priyangaravi2351
    @priyangaravi23516 жыл бұрын

    thanks a lot ...sir ...

  • @ombewook3624
    @ombewook36244 жыл бұрын

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

  • @user-tn8ju7qi1b
    @user-tn8ju7qi1b Жыл бұрын

    many thanks♥

  • @Drsaqib786
    @Drsaqib7864 жыл бұрын

    Amazing

  • @khaerloe08
    @khaerloe087 жыл бұрын

    Thank you!

  • @tariqhassan7306
    @tariqhassan73066 жыл бұрын

    Thank u so much.

  • @brokenangel6193
    @brokenangel61934 жыл бұрын

    Thanks so much 😊

  • @HafizahHoshni
    @HafizahHoshni7 жыл бұрын

    thank youuuu!

  • @nawrassabah5291
    @nawrassabah52918 жыл бұрын

    Thank you you are amazing

  • @thestudyspot

    @thestudyspot

    8 жыл бұрын

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

  • @marwankadhim3772
    @marwankadhim37727 жыл бұрын

    TY so much

  • @traceyeggers7627
    @traceyeggers76274 жыл бұрын

    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

    @ranaarshi6301

    Жыл бұрын

    How r u now

  • @pushpakhadka6988
    @pushpakhadka69882 жыл бұрын

    👌👌

  • @evapianista2835
    @evapianista28354 жыл бұрын

    You saved me

  • @samratmandal2669
    @samratmandal26695 жыл бұрын

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

  • @samvirk1290
    @samvirk12905 жыл бұрын

    good

  • @abutalhapurkait9604
    @abutalhapurkait96046 жыл бұрын

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

  • @SuperPerfectEnglish
    @SuperPerfectEnglish4 жыл бұрын

    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

  • @doctor.sonu14
    @doctor.sonu147 жыл бұрын

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

  • @user-tg7pm5zg2c

    @user-tg7pm5zg2c

    7 жыл бұрын

    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

  • @rahulmallick1878
    @rahulmallick1878 Жыл бұрын

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

  • @drwatson2682
    @drwatson26828 жыл бұрын

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

  • @thestudyspot

    @thestudyspot

    8 жыл бұрын

    +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.

  • @mazenbadawix6771
    @mazenbadawix67714 жыл бұрын

    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

  • @modestonieves5792
    @modestonieves57924 жыл бұрын

    I have 2 of them very painful

  • @emmnauelphiri7218

    @emmnauelphiri7218

    4 жыл бұрын

    Same

  • @Wvk5zc
    @Wvk5zc6 жыл бұрын

    I hate fistula! But thx for this educational video

  • @user-mp1uw3qj4u
    @user-mp1uw3qj4u4 жыл бұрын

    5:37

  • @Nini-os2yv
    @Nini-os2yv5 жыл бұрын

    Sorry but this is so irritating anyway thanks

  • @RomajaneAbrenio
    @RomajaneAbrenio Жыл бұрын

    thank you for this 🫶