\
\ \ On, a preoperative assessment scheme is filled in by the surgeon. viagra 5mg or 20 mg Informed, written consent is collected. cheap viagra Preoperative mri of the fistula tract is ordered. viagra online no prescription Operation/surgery a mini-enema is taken in the morning on the day of the surgery. The operation is performed in loco-regional anesthesia or general anesthesia by a proctologist. cheap generic viagra Prophylactic antibiotics are given perioperatively. cheapest place to buy generic viagra Each hospital may do this according to their routine, but equally in both groups. buy cheap viagra online The procedure will be performed with the patient in the position preferred by the surgeon. buy viagra pills online The randomisation is performed after the initial examination with the patient under anesthesia. The patient is not informed about the outcome of the randomisation. Anorectal advancement flap conventional surgery will be performed according to previously employed and established procedures, i. E. buying viagra online By the advancement flap technique: careful excision of the fistula tract, leaving the external fistula opening open to heal from the depth and outwards. viagra without a doctor prescription The internal fistula opening is covered by a mobilised musculo-mucosal flap with appropriate blood-supply. Discount viagra no prescription The flap is pulled in the caudad direction and cover the internal fistula opening with sufficient side margins, but without tissue tension. The flap is fixed with absorbable suture (figure 3). how to buy viagra online uk ⧠fig. viagra for sale 3 anorectal advancement flap anal fistula plug introduction of the anal fistula plug will be according to the recommendations from ( the internal fistula opening is identified (draining seton removed), followed by cleansing of the fistula tract with hydrogenperoxide or sterile salt water. taking 2 viagra pills Further manipulation of the fistula tract is not indicated when employing the fistula plug. A suture is fixed to the end of the plug. generic viagra An introducer is lead from the external to the internal fistula opening and the suture attached to the plug is grasped. Viagra tablets price india Then the plug is pulled into the fistula tract, tail first. floridalighttacklecharters.com/thq-buy-generic-viagra-online-cheap-tx/ The suture is pulled until the plug safely blocks the internal opening and is well fit in the tract itself. viagra generic uk Any surplus of the plug is trimmed off. The plug is fixed at the internal opening by resorbable sutures. Viagra online bestellen generika This suture should also close the internal opening to the anal canal, while the external ope. generic viagra online taking 2 viagra pills \ \ \


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