Successful management of a rare horseshoe perianal fistula using the modified Hanley procedure: a case report

Ibnu Kharisman; Ida Bagus Budhi Surya Adnyana; Suryo Wahyu Raharjo

doi:10.18203/2349-2902.isj20253461

Authors

Ibnu Kharisman Department of Surgery, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia
Ida Bagus Budhi Surya Adnyana Department of Digestive Surgery, Dr. Moewardi General Hospital, Surakarta, Indonesia
Suryo Wahyu Raharjo Department of Digestive Surgery, Dr. Moewardi General Hospital, Surakarta, Indonesia https://orcid.org/0009-0009-9142-5365

DOI:

https://doi.org/10.18203/2349-2902.isj20253461

Keywords:

Anorectal fistula, Horseshoe perianal fistula, Modified hanley procedure

Abstract

Horseshoe perianal fistula is a rare, complex anorectal condition characterized by bilateral extension through the ischiorectal fossae, often challenging to treat surgically. We present a rare case successfully managed using the modified Hanley procedure, emphasizing sphincter preservation and complete drainage of the postanal space. The patient achieved complete healing without recurrence or continence compromise. This report underscores the value of the Hanley approach in managing complex horseshoe fistulas.

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