DATE AND TIME: [Date and time]
URGENCY: Elective / Non-elective
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]
OPERATION: Examination Under Anaesthesia, Abscess Drainage and Seton Insertion for Complex Anal Fistula
ANAESTHETIC: General / spinal anaesthesia
POSITION: Lithotomy
ANTIBIOTICS: Broad-spectrum IV antibiotics if sepsis present
DVT PROPHYLAXIS: [Agent / mechanical / Not indicated]
INDICATION:
Complex anal fistula — [high trans-sphincteric / suprasphincteric / horseshoe component]. [Associated ischiorectal abscess]. [Crohn's disease / recurrent fistula]. MRI pelvis: [findings — track level, relation to sphincters, presence of secondary extensions]. Continence assessed preoperatively — patient counselled regarding seton placement and staged approach.