{"id":91,"date":"2026-09-17T04:28:42","date_gmt":"2026-09-17T04:28:42","guid":{"rendered":"https:\/\/testmed.click\/diegomunoz\/?page_id=91"},"modified":"2026-10-19T15:58:52","modified_gmt":"2026-10-19T15:58:52","slug":"fistulas-anorrectales","status":"publish","type":"page","link":"https:\/\/testmed.click\/diegomunoz\/fistulas-anorrectales\/","title":{"rendered":"F\u00edstulas anorrectales"},"content":{"rendered":"\t\t
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\n\t\t\t\t\t\r\n\r\n\r\n\r\n\r\nF\u00edstulas anorrectales \u2014 Dr. Nelson Mu\u00f1oz, Coloproct\u00f3logo en Temuco<\/title>\r\n<link rel=\"preconnect\" href=\"https:\/\/fonts.googleapis.com\">\r\n<link href=\"https:\/\/fonts.googleapis.com\/css2?family=Inter:wght@400;500;600;700;800&display=swap\" rel=\"stylesheet\">\r\n<\/head>\r\n<body>\r\n\r\n<section class=\"heroftl-nm\">\r\n <style>\r\n .heroftl-nm {\r\n --araucaria: #2A4736;\r\n --volcanic: #343A40;\r\n --terracota: #C27D58;\r\n --white: #ffffff;\r\n --soft: #eef1ec;\r\n --line: #dde3dc;\r\n --muted: #5b6660;\r\n --serif: Georgia, 'Times New Roman', serif;\r\n --sans: 'Inter', Arial, sans-serif;\r\n background: var(--white);\r\n font-family: var(--sans);\r\n color: var(--volcanic);\r\n position: relative;\r\n padding: 56px 0 64px;\r\n border-bottom: 1px solid var(--line);\r\n overflow: hidden;\r\n }\r\n .heroftl-nm * { box-sizing: border-box; }\r\n .heroftl-nm a { text-decoration: none !important; }\r\n .heroftl-nm a:link, .heroftl-nm a:visited, .heroftl-nm a:hover, .heroftl-nm a:active, .heroftl-nm a:focus {\r\n text-decoration: none !important;\r\n }\r\n .heroftl-nm .wrap-hz {\r\n width: min(1400px, calc(100% - 48px));\r\n margin: 0 auto;\r\n position: relative;\r\n z-index: 1;\r\n }\r\n .heroftl-nm .watermark-hz {\r\n position: absolute;\r\n right: -60px;\r\n top: -40px;\r\n width: 420px;\r\n opacity: .06;\r\n z-index: 0;\r\n pointer-events: none;\r\n }\r\n\r\n .heroftl-nm .crumbs-hz {\r\n display: flex;\r\n align-items: baseline;\r\n gap: 10px;\r\n margin-bottom: 30px;\r\n flex-wrap: wrap;\r\n }\r\n .heroftl-nm .crumbs-hz a {\r\n font-family: var(--sans);\r\n font-size: 13.5px;\r\n font-weight: 600;\r\n color: var(--muted);\r\n transition: color .2s ease;\r\n }\r\n .heroftl-nm .crumbs-hz a:hover { color: var(--araucaria); }\r\n .heroftl-nm .crumbs-hz .sep-hz {\r\n font-family: var(--serif);\r\n color: var(--line);\r\n font-size: 15px;\r\n }\r\n .heroftl-nm .crumbs-hz .current-hz {\r\n font-family: var(--serif);\r\n font-style: italic;\r\n font-size: 15px;\r\n color: var(--araucaria);\r\n letter-spacing: -.01em;\r\n }\r\n\r\n .heroftl-nm .kicker-hz {\r\n display: block;\r\n font-family: var(--sans);\r\n font-size: 13px;\r\n font-weight: 700;\r\n letter-spacing: .16em;\r\n text-transform: uppercase;\r\n color: var(--terracota);\r\n margin-bottom: 18px;\r\n }\r\n\r\n .heroftl-nm .grid-hz {\r\n display: grid;\r\n grid-template-columns: 1.4fr .9fr;\r\n gap: 48px;\r\n align-items: start;\r\n }\r\n\r\n .heroftl-nm h1.title-hz {\r\n font-family: var(--serif);\r\n font-weight: 400;\r\n letter-spacing: -.035em;\r\n line-height: 1.05;\r\n color: var(--araucaria);\r\n font-size: clamp(36px, 4.6vw, 54px);\r\n margin: 0 0 20px;\r\n }\r\n .heroftl-nm .sub-hz {\r\n font-size: clamp(16px, 1.6vw, 18px);\r\n color: var(--muted);\r\n line-height: 1.6;\r\n margin: 0;\r\n max-width: 620px;\r\n }\r\n\r\n .heroftl-nm .card-doc-hz {\r\n background: var(--soft);\r\n border: 1px solid var(--line);\r\n border-radius: 16px;\r\n padding: 26px;\r\n }\r\n .heroftl-nm .doc-name-hz {\r\n font-family: var(--serif);\r\n font-size: 17px;\r\n color: var(--araucaria);\r\n margin: 0 0 4px;\r\n line-height: 1.3;\r\n }\r\n .heroftl-nm .doc-role-hz {\r\n font-size: 13px;\r\n color: var(--muted);\r\n margin: 0 0 18px;\r\n line-height: 1.45;\r\n padding-bottom: 18px;\r\n border-bottom: 1px solid var(--line);\r\n }\r\n .heroftl-nm .btn-primary-hz {\r\n display: inline-flex;\r\n align-items: center;\r\n justify-content: center;\r\n gap: 8px;\r\n width: 100%;\r\n background: linear-gradient(135deg,#355c43,var(--araucaria) 55%,#1e3527);\r\n color: var(--white);\r\n font-family: var(--sans);\r\n font-weight: 600;\r\n font-size: 14.5px;\r\n padding: 13px 22px;\r\n border-radius: 999px;\r\n box-shadow: 0 8px 20px rgba(42,71,54,.25);\r\n transition: transform .2s ease, box-shadow .2s ease;\r\n }\r\n .heroftl-nm .btn-primary-hz:hover {\r\n transform: translateY(-2px);\r\n box-shadow: 0 12px 26px rgba(42,71,54,.32);\r\n }\r\n .heroftl-nm .btn-primary-hz svg { flex-shrink: 0; }\r\n\r\n @media (max-width: 900px) {\r\n .heroftl-nm .grid-hz { grid-template-columns: 1fr; }\r\n }\r\n @media (max-width: 640px) {\r\n .heroftl-nm { padding: 40px 0 44px; }\r\n .heroftl-nm .watermark-hz { display: none; }\r\n }\r\n <\/style>\r\n\r\n <img decoding=\"async\" class=\"watermark-hz\" src=\"https:\/\/testmed.click\/diegomunoz\/wp-content\/uploads\/2026\/09\/LOGO-2026-02.png\" alt=\"\">\r\n\r\n <div class=\"wrap-hz\">\r\n <nav class=\"crumbs-hz\" aria-label=\"breadcrumb\">\r\n <a href=\"\/diegomunoz\/home\/\">Inicio<\/a>\r\n <span class=\"sep-hz\">\/<\/span>\r\n <a href=\"\/diegomunoz\/patologias\/\">Patolog\u00edas<\/a>\r\n <span class=\"sep-hz\">\/<\/span>\r\n <span class=\"current-hz\">F\u00edstulas anorrectales<\/span>\r\n <\/nav>\r\n\r\n <span class=\"kicker-hz\">Enfermedades anorrectales<\/span>\r\n\r\n <div class=\"grid-hz\">\r\n <div>\r\n <h1 class=\"title-hz\">F\u00edstulas anorrectales \u2014 Tratamiento con un coloproct\u00f3logo en Temuco<\/h1>\r\n <p class=\"sub-hz\">Un trayecto anormal entre el ano y la piel que lo rodea. La cirug\u00eda busca curar sin comprometer la continencia.<\/p>\r\n <\/div>\r\n\r\n <div class=\"card-doc-hz\">\r\n <p class=\"doc-name-hz\">Dr. Nelson Mu\u00f1oz P\u00e9rez<\/p>\r\n <p class=\"doc-role-hz\">Cirujano General y Coloproct\u00f3logo \u00b7 CONACEM, Universidad de Chile<\/p>\r\n <a href=\"#\" class=\"btn-primary-hz\">\r\n <svg width=\"17\" height=\"17\" viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M12.04 2C6.58 2 2.13 6.45 2.13 11.91c0 1.85.5 3.58 1.44 5.08L2 22l5.25-1.53c1.42.78 3.06 1.22 4.79 1.22 5.46 0 9.91-4.45 9.91-9.91C21.95 6.45 17.5 2 12.04 2zm0 18.06c-1.57 0-3.05-.42-4.32-1.22l-.31-.19-3.11.91.93-3.03-.2-.31a8.11 8.11 0 0 1-1.24-4.31c0-4.48 3.65-8.12 8.13-8.12 4.48 0 8.13 3.64 8.13 8.12s-3.65 8.15-8.01 8.15z\"\/><\/svg>\r\n Escribir por WhatsApp\r\n <\/a>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n<\/section>\r\n<!-- ===================== \/HERO-FTL-NM ===================== -->\r\n\r\n\r\n<!-- ===================== PERSP-FTL-NM :: LA PERSPECTIVA DEL CIRUJANO ===================== -->\r\n<section class=\"perspftl-nm\">\r\n <style>\r\n .perspftl-nm {\r\n --araucaria: #2A4736;\r\n --terracota: #C27D58;\r\n --white: #ffffff;\r\n --line: #dde3dc;\r\n --muted: #5b6660;\r\n --volcanic: #343A40;\r\n --serif: Georgia, 'Times New Roman', serif;\r\n --sans: 'Inter', Arial, sans-serif;\r\n background: var(--white);\r\n font-family: var(--sans);\r\n color: var(--volcanic);\r\n padding: 72px 0;\r\n }\r\n .perspftl-nm * { box-sizing: border-box; }\r\n .perspftl-nm .wrap-pz {\r\n width: min(1400px, calc(100% - 48px));\r\n margin: 0 auto;\r\n max-width: 860px;\r\n }\r\n .perspftl-nm .kicker-pz {\r\n display: block;\r\n font-size: 13px;\r\n font-weight: 700;\r\n letter-spacing: .16em;\r\n text-transform: uppercase;\r\n color: var(--terracota);\r\n margin-bottom: 14px;\r\n }\r\n .perspftl-nm h2.title-pz {\r\n font-family: var(--serif);\r\n font-weight: 400;\r\n letter-spacing: -.03em;\r\n color: var(--araucaria);\r\n font-size: clamp(28px, 3.2vw, 38px);\r\n margin: 0 0 28px;\r\n line-height: 1.15;\r\n }\r\n .perspftl-nm p.body-pz {\r\n font-size: 16.5px;\r\n line-height: 1.75;\r\n color: var(--volcanic);\r\n margin: 0 0 20px;\r\n }\r\n .perspftl-nm blockquote.quote-pz {\r\n font-family: var(--serif);\r\n font-style: italic;\r\n font-size: clamp(19px, 2vw, 23px);\r\n line-height: 1.5;\r\n color: var(--araucaria);\r\n border-left: 3px solid var(--terracota);\r\n padding: 6px 0 6px 26px;\r\n margin: 32px 0 0;\r\n }\r\n @media (max-width: 640px) {\r\n .perspftl-nm { padding: 48px 0; }\r\n }\r\n <\/style>\r\n\r\n <div class=\"wrap-pz\">\r\n <span class=\"kicker-pz\">La perspectiva del cirujano<\/span>\r\n <h2 class=\"title-pz\">Un t\u00fanel que no se cierra solo, aunque el dolor haya pasado.<\/h2>\r\n <p class=\"body-pz\">Una f\u00edstula anorrectal es un peque\u00f1o t\u00fanel que se forma entre el interior del ano y la piel. Casi siempre nace de un absceso que se dren\u00f3 y que dej\u00f3 esa conexi\u00f3n abierta. Es un cuadro que no se cura solo, por m\u00e1s que el dolor agudo haya pasado: la secreci\u00f3n persistente, a veces con mal olor, y la inflamaci\u00f3n recurrente son la se\u00f1al de que el trayecto sigue activo.<\/p>\r\n <p class=\"body-pz\">Mi trabajo no es solo cerrar ese trayecto, sino hacerlo evaluando primero cu\u00e1nto esf\u00ednter anal compromete, porque de esa evaluaci\u00f3n depende toda la decisi\u00f3n quir\u00fargica. Una f\u00edstula simple y superficial se resuelve de forma distinta a una compleja que atraviesa buena parte del esf\u00ednter. Confundir ambas es el error que m\u00e1s pone en riesgo la continencia del paciente, y es algo que reviso con calma antes de proponer cualquier t\u00e9cnica.<\/p>\r\n <blockquote class=\"quote-pz\">\"Confundir una f\u00edstula simple con una compleja es el error que m\u00e1s pone en riesgo la continencia del paciente.\"<\/blockquote>\r\n <\/div>\r\n<\/section>\r\n<!-- ===================== \/PERSP-FTL-NM ===================== -->\r\n\r\n\r\n<!-- ===================== SINTOMAS-FTL-NM :: SINTOMAS MAS COMUNES ===================== -->\r\n<section class=\"sintomasftl-nm\">\r\n <style>\r\n .sintomasftl-nm {\r\n --araucaria: #2A4736;\r\n --terracota: #C27D58;\r\n --white: #ffffff;\r\n --soft: #eef1ec;\r\n --line: #dde3dc;\r\n --muted: #5b6660;\r\n --volcanic: #343A40;\r\n --serif: Georgia, 'Times New Roman', serif;\r\n --sans: 'Inter', Arial, sans-serif;\r\n background: var(--soft);\r\n font-family: var(--sans);\r\n color: var(--volcanic);\r\n padding: 72px 0;\r\n }\r\n .sintomasftl-nm * { box-sizing: border-box; }\r\n .sintomasftl-nm .wrap-sz {\r\n width: min(1400px, calc(100% - 48px));\r\n margin: 0 auto;\r\n }\r\n .sintomasftl-nm .kicker-sz {\r\n display: block;\r\n font-size: 13px;\r\n font-weight: 700;\r\n letter-spacing: .16em;\r\n text-transform: uppercase;\r\n color: var(--terracota);\r\n margin-bottom: 14px;\r\n }\r\n .sintomasftl-nm h2.title-sz {\r\n font-family: var(--serif);\r\n font-weight: 400;\r\n letter-spacing: -.03em;\r\n color: var(--araucaria);\r\n font-size: clamp(28px, 3.2vw, 38px);\r\n margin: 0 0 32px;\r\n line-height: 1.15;\r\n max-width: 700px;\r\n }\r\n .sintomasftl-nm .grid-sz {\r\n display: grid;\r\n grid-template-columns: repeat(3, 1fr);\r\n gap: 18px;\r\n }\r\n .sintomasftl-nm .item-sz {\r\n background: var(--white);\r\n border: 1px solid var(--line);\r\n border-radius: 14px;\r\n padding: 20px 22px;\r\n display: flex;\r\n align-items: flex-start;\r\n gap: 12px;\r\n font-size: 15px;\r\n line-height: 1.5;\r\n color: var(--volcanic);\r\n transition: transform .22s ease, box-shadow .22s ease, border-color .22s ease;\r\n }\r\n .sintomasftl-nm .item-sz:hover {\r\n transform: translateY(-3px);\r\n box-shadow: 0 12px 26px rgba(42,71,54,.1);\r\n border-color: var(--araucaria);\r\n }\r\n .sintomasftl-nm .item-sz svg {\r\n flex-shrink: 0;\r\n color: var(--terracota);\r\n margin-top: 2px;\r\n }\r\n @media (max-width: 900px) {\r\n .sintomasftl-nm .grid-sz { grid-template-columns: 1fr 1fr; }\r\n }\r\n @media (max-width: 640px) {\r\n .sintomasftl-nm { padding: 48px 0; }\r\n .sintomasftl-nm .grid-sz { grid-template-columns: 1fr; }\r\n }\r\n <\/style>\r\n\r\n <div class=\"wrap-sz\">\r\n <span class=\"kicker-sz\">Qu\u00e9 sentir, cu\u00e1ndo consultar<\/span>\r\n <h2 class=\"title-sz\">S\u00edntomas m\u00e1s comunes<\/h2>\r\n\r\n <div class=\"grid-sz\">\r\n <div class=\"item-sz\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"><\/circle><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"><\/line><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"><\/line><\/svg>Secreci\u00f3n purulenta o serosa persistente cerca del ano<\/div>\r\n <div class=\"item-sz\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"><\/circle><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"><\/line><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"><\/line><\/svg>Dolor o molestia que aumenta y disminuye de forma c\u00edclica<\/div>\r\n <div class=\"item-sz\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"><\/circle><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"><\/line><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"><\/line><\/svg>Irritaci\u00f3n de la piel perianal<\/div>\r\n <div class=\"item-sz\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"><\/circle><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"><\/line><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"><\/line><\/svg>Fiebre o hinchaz\u00f3n si se reactiva un absceso<\/div>\r\n <div class=\"item-sz\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"><\/circle><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"><\/line><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"><\/line><\/svg>En algunos casos, salida de gases o deposiciones por el orificio externo<\/div>\r\n <div class=\"item-sz\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"><\/circle><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"><\/line><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"><\/line><\/svg>Historia de absceso anorectal previo<\/div>\r\n <\/div>\r\n <\/div>\r\n<\/section>\r\n<!-- ===================== \/SINTOMAS-FTL-NM ===================== -->\r\n\r\n\r\n<!-- ===================== CLASIF-FTL-NM :: CLASIFICACION SEGUN RECORRIDO ===================== -->\r\n<section class=\"clasifftl-nm\">\r\n <style>\r\n .clasifftl-nm {\r\n --araucaria: #2A4736;\r\n --terracota: #C27D58;\r\n --white: #ffffff;\r\n --line: #dde3dc;\r\n --muted: #5b6660;\r\n --volcanic: #343A40;\r\n --serif: Georgia, 'Times New Roman', serif;\r\n --sans: 'Inter', Arial, sans-serif;\r\n background: var(--white);\r\n font-family: var(--sans);\r\n color: var(--volcanic);\r\n padding: 72px 0;\r\n }\r\n .clasifftl-nm * { box-sizing: border-box; }\r\n .clasifftl-nm .wrap-cz {\r\n width: min(1400px, calc(100% - 48px));\r\n margin: 0 auto;\r\n }\r\n .clasifftl-nm .kicker-cz {\r\n display: block;\r\n font-size: 13px;\r\n font-weight: 700;\r\n letter-spacing: .16em;\r\n text-transform: uppercase;\r\n color: var(--terracota);\r\n margin-bottom: 14px;\r\n }\r\n .clasifftl-nm h2.title-cz {\r\n font-family: var(--serif);\r\n font-weight: 400;\r\n letter-spacing: -.03em;\r\n color: var(--araucaria);\r\n font-size: clamp(28px, 3.2vw, 38px);\r\n margin: 0 0 16px;\r\n }\r\n .clasifftl-nm p.intro-cz {\r\n font-size: 16px;\r\n color: var(--muted);\r\n line-height: 1.65;\r\n max-width: 820px;\r\n margin: 0 0 36px;\r\n }\r\n .clasifftl-nm .grid-cz {\r\n display: grid;\r\n grid-template-columns: repeat(4, 1fr);\r\n gap: 18px;\r\n }\r\n .clasifftl-nm .card-cz {\r\n background: var(--araucaria);\r\n border-radius: 16px;\r\n padding: 26px 20px;\r\n color: var(--white);\r\n transition: transform .25s ease, box-shadow .25s ease;\r\n }\r\n .clasifftl-nm .card-cz:hover {\r\n transform: translateY(-5px);\r\n box-shadow: 0 16px 32px rgba(42,71,54,.28);\r\n }\r\n .clasifftl-nm .label-cz {\r\n font-family: var(--serif);\r\n font-size: 17px;\r\n color: #f2d9c6;\r\n margin-bottom: 10px;\r\n display: block;\r\n line-height: 1.2;\r\n }\r\n .clasifftl-nm .desc-cz {\r\n font-size: 13.5px;\r\n line-height: 1.5;\r\n color: #e7ede8;\r\n margin: 0;\r\n }\r\n .clasifftl-nm .risk-bar-cz {\r\n margin-top: 32px;\r\n display: flex;\r\n align-items: center;\r\n gap: 10px;\r\n font-size: 13px;\r\n color: var(--muted);\r\n }\r\n .clasifftl-nm .risk-bar-cz .track-cz {\r\n flex-grow: 1;\r\n height: 6px;\r\n border-radius: 999px;\r\n background: linear-gradient(90deg, #cfe0d5, var(--terracota));\r\n }\r\n @media (max-width: 900px) {\r\n .clasifftl-nm .grid-cz { grid-template-columns: 1fr 1fr; }\r\n }\r\n @media (max-width: 640px) {\r\n .clasifftl-nm { padding: 48px 0; }\r\n .clasifftl-nm .grid-cz { grid-template-columns: 1fr; }\r\n }\r\n <\/style>\r\n\r\n <div class=\"wrap-cz\">\r\n <span class=\"kicker-cz\">Clasificaci\u00f3n<\/span>\r\n <h2 class=\"title-cz\">Seg\u00fan su recorrido respecto al esf\u00ednter<\/h2>\r\n <p class=\"intro-cz\">Las f\u00edstulas se clasifican seg\u00fan su recorrido en relaci\u00f3n con el esf\u00ednter anal, de menor a mayor complejidad y riesgo para la continencia. Esta clasificaci\u00f3n es la que determina la t\u00e9cnica quir\u00fargica apropiada.<\/p>\r\n\r\n <div class=\"grid-cz\">\r\n <div class=\"card-cz\">\r\n <span class=\"label-cz\">Interesfinteriana<\/span>\r\n <p class=\"desc-cz\">Menor complejidad y menor riesgo para la continencia.<\/p>\r\n <\/div>\r\n <div class=\"card-cz\">\r\n <span class=\"label-cz\">Transesfinteriana<\/span>\r\n <p class=\"desc-cz\">Complejidad y riesgo intermedios.<\/p>\r\n <\/div>\r\n <div class=\"card-cz\">\r\n <span class=\"label-cz\">Supraesfinteriana<\/span>\r\n <p class=\"desc-cz\">Mayor complejidad y riesgo para la continencia.<\/p>\r\n <\/div>\r\n <div class=\"card-cz\">\r\n <span class=\"label-cz\">Extraesfinteriana<\/span>\r\n <p class=\"desc-cz\">Mayor complejidad y riesgo para la continencia.<\/p>\r\n <\/div>\r\n <\/div>\r\n\r\n <div class=\"risk-bar-cz\">\r\n <span>Menor complejidad<\/span>\r\n <span class=\"track-cz\"><\/span>\r\n <span>Mayor complejidad<\/span>\r\n <\/div>\r\n <\/div>\r\n<\/section>\r\n<!-- ===================== \/CLASIF-FTL-NM ===================== -->\r\n\r\n\r\n<!-- ===================== TRAT-FTL-NM :: TRATAMIENTO QUIRURGICO ===================== -->\r\n<section class=\"tratftl-nm\">\r\n <style>\r\n .tratftl-nm {\r\n --araucaria: #2A4736;\r\n --terracota: #C27D58;\r\n --white: #ffffff;\r\n --soft: #eef1ec;\r\n --line: #dde3dc;\r\n --muted: #5b6660;\r\n --volcanic: #343A40;\r\n --serif: Georgia, 'Times New Roman', serif;\r\n --sans: 'Inter', Arial, sans-serif;\r\n background: var(--soft);\r\n font-family: var(--sans);\r\n color: var(--volcanic);\r\n padding: 72px 0;\r\n }\r\n .tratftl-nm * { box-sizing: border-box; }\r\n .tratftl-nm .wrap-tz {\r\n width: min(1400px, calc(100% - 48px));\r\n margin: 0 auto;\r\n }\r\n .tratftl-nm .kicker-tz {\r\n display: block;\r\n font-size: 13px;\r\n font-weight: 700;\r\n letter-spacing: .16em;\r\n text-transform: uppercase;\r\n color: var(--terracota);\r\n margin-bottom: 14px;\r\n }\r\n .tratftl-nm h2.title-tz {\r\n font-family: var(--serif);\r\n font-weight: 400;\r\n letter-spacing: -.03em;\r\n color: var(--araucaria);\r\n font-size: clamp(28px, 3.2vw, 38px);\r\n margin: 0 0 16px;\r\n }\r\n .tratftl-nm p.intro-tz {\r\n font-size: 16px;\r\n color: var(--muted);\r\n line-height: 1.65;\r\n max-width: 820px;\r\n margin: 0 0 36px;\r\n }\r\n .tratftl-nm .col-label-tz {\r\n font-family: var(--sans);\r\n font-size: 13px;\r\n font-weight: 700;\r\n letter-spacing: .12em;\r\n text-transform: uppercase;\r\n color: var(--araucaria);\r\n margin-bottom: 22px;\r\n padding-bottom: 14px;\r\n border-bottom: 2px solid var(--araucaria);\r\n }\r\n .tratftl-nm .grid-tz {\r\n display: grid;\r\n grid-template-columns: repeat(3, 1fr);\r\n gap: 18px;\r\n }\r\n .tratftl-nm .proc-tz {\r\n background: var(--white);\r\n border: 1px solid var(--line);\r\n border-radius: 14px;\r\n padding: 22px 24px;\r\n transition: box-shadow .22s ease, border-color .22s ease, transform .22s ease;\r\n }\r\n .tratftl-nm .proc-tz:hover {\r\n transform: translateY(-3px);\r\n box-shadow: 0 14px 28px rgba(42,71,54,.1);\r\n border-color: var(--araucaria);\r\n }\r\n .tratftl-nm .proc-tz h3 {\r\n font-family: var(--serif);\r\n font-weight: 400;\r\n letter-spacing: -.015em;\r\n color: var(--araucaria);\r\n font-size: 19px;\r\n margin: 0 0 8px;\r\n }\r\n .tratftl-nm .proc-tz p {\r\n font-size: 14.5px;\r\n line-height: 1.55;\r\n color: var(--muted);\r\n margin: 0;\r\n }\r\n @media (max-width: 900px) {\r\n .tratftl-nm .grid-tz { grid-template-columns: 1fr 1fr; }\r\n }\r\n @media (max-width: 640px) {\r\n .tratftl-nm { padding: 48px 0; }\r\n .tratftl-nm .grid-tz { grid-template-columns: 1fr; gap: 14px; }\r\n .tratftl-nm .proc-tz { padding: 20px; }\r\n }\r\n <\/style>\r\n\r\n <div class=\"wrap-tz\">\r\n <span class=\"kicker-tz\">Opciones de tratamiento<\/span>\r\n <h2 class=\"title-tz\">Tratamiento quir\u00fargico<\/h2>\r\n <p class=\"intro-tz\">El tratamiento de las f\u00edstulas anorrectales siempre es quir\u00fargico. La t\u00e9cnica se define caso a caso, seg\u00fan el tipo de f\u00edstula y la resonancia preoperatoria.<\/p>\r\n\r\n <div class=\"col-label-tz\">Tratamiento quir\u00fargico<\/div>\r\n\r\n <div class=\"grid-tz\">\r\n <div class=\"proc-tz\">\r\n <h3>Manejo del absceso agudo<\/h3>\r\n <p>Se drena antes de evaluar la f\u00edstula en s\u00ed.<\/p>\r\n <\/div>\r\n\r\n <div class=\"proc-tz\">\r\n <h3>Sedales (setones)<\/h3>\r\n <p>Como manejo temporal o como parte de una estrategia por etapas, para drenar y madurar el trayecto antes de la cirug\u00eda definitiva.<\/p>\r\n <\/div>\r\n\r\n <div class=\"proc-tz\">\r\n <h3>Fistulotom\u00eda<\/h3>\r\n <p>Para f\u00edstulas simples de bajo riesgo esfinteriano: es la t\u00e9cnica con mejor tasa de curaci\u00f3n.<\/p>\r\n <\/div>\r\n\r\n <div class=\"proc-tz\">\r\n <h3>T\u00e9cnicas preservadoras de esf\u00ednter<\/h3>\r\n <p>Colgajo de avance o LIFT, para f\u00edstulas complejas o altas.<\/p>\r\n <\/div>\r\n\r\n <div class=\"proc-tz\">\r\n <h3>Sedal cortante o de drenaje<\/h3>\r\n <p>Seg\u00fan el caso, dentro del manejo escalonado de las f\u00edstulas complejas.<\/p>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n<\/section>\r\n<!-- ===================== \/TRAT-FTL-NM ===================== -->\r\n\r\n\r\n<!-- ===================== FAQ-FTL-NM :: PREGUNTAS FRECUENTES ===================== -->\r\n<section class=\"faqftl-nm\">\r\n <style>\r\n .faqftl-nm {\r\n --araucaria: #2A4736;\r\n --terracota: #C27D58;\r\n --white: #ffffff;\r\n --line: #dde3dc;\r\n --muted: #5b6660;\r\n --volcanic: #343A40;\r\n --serif: Georgia, 'Times New Roman', serif;\r\n --sans: 'Inter', Arial, sans-serif;\r\n background: var(--white);\r\n font-family: var(--sans);\r\n color: var(--volcanic);\r\n padding: 72px 0;\r\n }\r\n .faqftl-nm * { box-sizing: border-box; }\r\n .faqftl-nm .wrap-fz {\r\n width: min(1400px, calc(100% - 48px));\r\n margin: 0 auto;\r\n max-width: 860px;\r\n }\r\n .faqftl-nm .kicker-fz {\r\n display: block;\r\n font-size: 13px;\r\n font-weight: 700;\r\n letter-spacing: .16em;\r\n text-transform: uppercase;\r\n color: var(--terracota);\r\n margin-bottom: 14px;\r\n }\r\n .faqftl-nm h2.title-fz {\r\n font-family: var(--serif);\r\n font-weight: 400;\r\n letter-spacing: -.03em;\r\n color: var(--araucaria);\r\n font-size: clamp(28px, 3.2vw, 38px);\r\n margin: 0 0 36px;\r\n }\r\n .faqftl-nm .item-fz {\r\n border-bottom: 1px solid var(--line);\r\n }\r\n .faqftl-nm .item-fz:first-child { border-top: 1px solid var(--line); }\r\n .faqftl-nm .q-fz {\r\n width: 100%;\r\n display: flex;\r\n align-items: center;\r\n justify-content: space-between;\r\n gap: 16px;\r\n background: none;\r\n border: none;\r\n text-align: left;\r\n cursor: pointer;\r\n padding: 22px 4px;\r\n font-family: var(--sans);\r\n font-size: 16.5px;\r\n font-weight: 600;\r\n color: var(--araucaria);\r\n }\r\n .faqftl-nm .q-fz svg {\r\n flex-shrink: 0;\r\n color: var(--terracota);\r\n transition: transform .25s ease;\r\n }\r\n .faqftl-nm .item-fz.open-fz .q-fz svg { transform: rotate(45deg); }\r\n .faqftl-nm .a-fz {\r\n max-height: 0;\r\n overflow: hidden;\r\n transition: max-height .3s ease;\r\n }\r\n .faqftl-nm .a-fz p {\r\n font-size: 15.5px;\r\n line-height: 1.65;\r\n color: var(--muted);\r\n margin: 0 0 22px;\r\n padding: 0 4px;\r\n }\r\n @media (max-width: 640px) {\r\n .faqftl-nm { padding: 48px 0; }\r\n .faqftl-nm .q-fz { font-size: 15.5px; }\r\n }\r\n <\/style>\r\n\r\n <div class=\"wrap-fz\">\r\n <span class=\"kicker-fz\">Lo que preguntan seguido<\/span>\r\n <h2 class=\"title-fz\">Preguntas frecuentes<\/h2>\r\n\r\n <div class=\"item-fz\">\r\n <button class=\"q-fz\" type=\"button\">\u00bfUna f\u00edstula se puede cerrar sola?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"><\/line><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"><\/line><\/svg><\/button>\r\n <div class=\"a-fz\"><p>Rara vez. Mientras el trayecto siga comunicando el recto con la piel, la secreci\u00f3n y la inflamaci\u00f3n tienden a repetirse. La cirug\u00eda es el tratamiento definitivo.<\/p><\/div>\r\n <\/div>\r\n\r\n <div class=\"item-fz\">\r\n <button class=\"q-fz\" type=\"button\">\u00bfToda cirug\u00eda de f\u00edstula pone en riesgo la continencia?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"><\/line><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"><\/line><\/svg><\/button>\r\n <div class=\"a-fz\"><p>No necesariamente. El riesgo depende de cu\u00e1nto esf\u00ednter compromete el trayecto. Por eso la evaluaci\u00f3n previa, incluidas las im\u00e1genes preoperatorias, es tan importante como la cirug\u00eda misma.<\/p><\/div>\r\n <\/div>\r\n\r\n <div class=\"item-fz\">\r\n <button class=\"q-fz\" type=\"button\">\u00bfPor qu\u00e9 a veces se opera en m\u00e1s de una etapa?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"><\/line><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"><\/line><\/svg><\/button>\r\n <div class=\"a-fz\"><p>En f\u00edstulas complejas, dividir el tratamiento en etapas mejora las tasas de curaci\u00f3n y reduce el riesgo de da\u00f1o al esf\u00ednter.<\/p><\/div>\r\n <\/div>\r\n\r\n <div class=\"item-fz\">\r\n <button class=\"q-fz\" type=\"button\">\u00bfPuede volver a aparecer despu\u00e9s de operada?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"><\/line><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"><\/line><\/svg><\/button>\r\n <div class=\"a-fz\"><p>S\u00ed, existe un porcentaje de recurrencia, mayor en f\u00edstulas complejas. Por eso el seguimiento posterior a la cirug\u00eda es muy importante.<\/p><\/div>\r\n <\/div>\r\n <\/div>\r\n\r\n <script>\r\n (function(){\r\n var items = document.querySelectorAll('.faqftl-nm .item-fz');\r\n items.forEach(function(item){\r\n var btn = item.querySelector('.q-fz');\r\n var ans = item.querySelector('.a-fz');\r\n btn.addEventListener('click', function(){\r\n var isOpen = item.classList.contains('open-fz');\r\n items.forEach(function(i){\r\n i.classList.remove('open-fz');\r\n i.querySelector('.a-fz').style.maxHeight = null;\r\n });\r\n if (!isOpen) {\r\n item.classList.add('open-fz');\r\n ans.style.maxHeight = ans.scrollHeight + 'px';\r\n }\r\n });\r\n });\r\n })();\r\n <\/script>\r\n<\/section>\r\n<!-- ===================== \/FAQ-FTL-NM ===================== -->\r\n\r\n\r\n<!-- ===================== CTA-FTL-NM :: CTA FINAL AGENDA TU HORA ===================== -->\r\n<!-- NOTA: href=\"#\" en boton \"Escribir por WhatsApp\": falta numero\/link real, a confirmar. -->\r\n<section class=\"ctaftl-nm\">\r\n <style>\r\n .ctaftl-nm {\r\n --araucaria: #2A4736;\r\n --terracota: #C27D58;\r\n --white: #ffffff;\r\n --line: #dde3dc;\r\n --muted: #5b6660;\r\n --serif: Georgia, 'Times New Roman', serif;\r\n --sans: 'Inter', Arial, sans-serif;\r\n background: var(--araucaria);\r\n font-family: var(--sans);\r\n color: var(--white);\r\n position: relative;\r\n padding: 64px 0;\r\n overflow: hidden;\r\n }\r\n .ctaftl-nm * { box-sizing: border-box; }\r\n .ctaftl-nm a { text-decoration: none !important; }\r\n .ctaftl-nm a:link, .ctaftl-nm a:visited, .ctaftl-nm a:hover, .ctaftl-nm a:active, .ctaftl-nm a:focus {\r\n text-decoration: none !important;\r\n }\r\n .ctaftl-nm .wrap-cz2 {\r\n width: min(1400px, calc(100% - 48px));\r\n margin: 0 auto;\r\n position: relative;\r\n z-index: 1;\r\n display: grid;\r\n grid-template-columns: 1.3fr .7fr;\r\n gap: 32px;\r\n align-items: center;\r\n }\r\n .ctaftl-nm .watermark-cz2 {\r\n position: absolute;\r\n right: -40px;\r\n bottom: -60px;\r\n width: 340px;\r\n opacity: .08;\r\n z-index: 0;\r\n pointer-events: none;\r\n }\r\n .ctaftl-nm .kicker-cz2 {\r\n display: block;\r\n font-size: 13px;\r\n font-weight: 700;\r\n letter-spacing: .16em;\r\n text-transform: uppercase;\r\n color: #e3b191;\r\n margin-bottom: 14px;\r\n }\r\n .ctaftl-nm h2.title-cz2 {\r\n font-family: var(--serif);\r\n font-weight: 400;\r\n letter-spacing: -.03em;\r\n font-size: clamp(26px, 3vw, 36px);\r\n margin: 0 0 14px;\r\n line-height: 1.2;\r\n color: var(--white);\r\n }\r\n .ctaftl-nm p.sub-cz2 {\r\n font-size: 15.5px;\r\n line-height: 1.6;\r\n color: #d6e0da;\r\n margin: 0;\r\n max-width: 520px;\r\n }\r\n .ctaftl-nm .btn-white-cz2 {\r\n display: inline-flex;\r\n align-items: center;\r\n justify-content: center;\r\n gap: 8px;\r\n width: 100%;\r\n background: var(--white);\r\n color: var(--araucaria);\r\n font-weight: 600;\r\n font-size: 15px;\r\n padding: 15px 24px;\r\n border-radius: 999px;\r\n transition: transform .2s ease, box-shadow .2s ease;\r\n }\r\n .ctaftl-nm .btn-white-cz2:hover {\r\n transform: translateY(-2px);\r\n box-shadow: 0 10px 24px rgba(0,0,0,.18);\r\n }\r\n .ctaftl-nm .foot-cz2 {\r\n margin-top: 26px;\r\n font-size: 13px;\r\n color: #b9c8bf;\r\n }\r\n @media (max-width: 900px) {\r\n .ctaftl-nm .wrap-cz2 { grid-template-columns: 1fr; }\r\n }\r\n @media (max-width: 640px) {\r\n .ctaftl-nm { padding: 44px 0; }\r\n }\r\n <\/style>\r\n\r\n <img decoding=\"async\" class=\"watermark-cz2\" src=\"https:\/\/testmed.click\/diegomunoz\/wp-content\/uploads\/2026\/09\/LOGO-2026-02.png\" alt=\"\">\r\n\r\n <div class=\"wrap-cz2\">\r\n <div>\r\n <span class=\"kicker-cz2\">Agenda tu hora<\/span>\r\n <h2 class=\"title-cz2\">Habla con un especialista en Temuco.<\/h2>\r\n <p class=\"sub-cz2\">El tratamiento correcto requiere una evaluaci\u00f3n cl\u00ednica real: de tu grado, tu anatom\u00eda y tu situaci\u00f3n. Un sitio web es un punto de partida, no un reemplazo.<\/p>\r\n <p class=\"foot-cz2\">Dr. Nelson Mu\u00f1oz P\u00e9rez \u00b7 Cirujano General y Coloproct\u00f3logo \u00b7 Temuco, Chile<\/p>\r\n <\/div>\r\n <a href=\"#\" class=\"btn-white-cz2\">\r\n <svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M12.04 2C6.58 2 2.13 6.45 2.13 11.91c0 1.85.5 3.58 1.44 5.08L2 22l5.25-1.53c1.42.78 3.06 1.22 4.79 1.22 5.46 0 9.91-4.45 9.91-9.91C21.95 6.45 17.5 2 12.04 2zm0 18.06c-1.57 0-3.05-.42-4.32-1.22l-.31-.19-3.11.91.93-3.03-.2-.31a8.11 8.11 0 0 1-1.24-4.31c0-4.48 3.65-8.12 8.13-8.12 4.48 0 8.13 3.64 8.13 8.12s-3.65 8.15-8.01 8.15z\"\/><\/svg>\r\n Escribir por WhatsApp\r\n <\/a>\r\n <\/div>\r\n<\/section>\r\n<!-- ===================== \/CTA-FTL-NM ===================== -->\r\n\r\n<\/body>\r\n<\/html>\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>F\u00edstulas anorrectales \u2014 Dr. Nelson Mu\u00f1oz, Coloproct\u00f3logo en Temuco Inicio \/ Patolog\u00edas \/ F\u00edstulas anorrectales Enfermedades anorrectales F\u00edstulas anorrectales \u2014 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