Rectum And Anal Canal Important Question And Answers

Rectum And Anal Canal

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

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

Goodsall’s rule

• Fistulas with an external opening in relation to the anterior half of the anus is of direct type.
• Fistulas with external openings in relation to posterior half of the anus, has a curved track may be of horseshoe type, opens in the midline posteriorly, and may present with multiple external opening all connected to a single internal opening.
• Per rectal (P/R) examination shows indurated internal opening usually in the midline posteriorly.

Read And Learn More: General Surgery Question And Answers

• Most of the fistulas are on posterior half of anus.
• Probing in the ward and fitulogram 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 with care without creating extensions.