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Horseshoe fistula is one of the most. complex and potentially morbid. conditions faced in a modern anorectal. surgery. Hanley, 1965 reported his. original procedure for horseshoe fistula. which involved complete division of the. posterior 12 o'clock sphincter mechanism.
External intestinal fistula is connected to the skin (enterocutaneous fistula). Internal intestinal fistula can be connected to a number of organs, such as stomach (gastrocolic fistula), the biliary tract (cholecystoduodenal fistula), or the urinary bladder of the urinary tract (colovesical fistula).