Publication:

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

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.