Rectum And Anal Canal Important Question And Answers

Rectum And Anal Canal Important Question And Answers

Question 1. Write a short note on Goodsall’s rule.

Answer. It is also known as Goodsall’s (1900) rule.

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Goodsall’s rule

• Fistulas with an external opening about the anterior half of the anus is of direct type.
• Fistulas with external openings about the posterior half of the anus have cua rved tracks that may be of horseshoe type, open in the midline posteriorly, and may present with multiple external openings all connected to a single internal opening.
• Per rectal (P/R) examination, it shows an indurated internal opening, usually in the midline posteriorly.

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• Most of the fistulas are the n posterior half of the anus.
• Probing in the ward and citalopram in the ward before surgery using Lipiodol is not advisable as it may cause recrudescence of inflammation.
  It can be done with adequate precaution.
  Probing is done under general anesthesia gently and with care without creating extensions.