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This video shows the authors' anatomic demonstration of patterns of anal sepsis development to guide therapy. This video is associated with a text under submission for publication in the journal Colorectal Disease. Click Subscribe to this channel for the most up to date content. Authors: Vicent Primo Romaguera(1) Alvaro Garcia-Granero(1*) Delfina Fletcher-Sanfeliu(2) Gianluca Pellino(1) Maria Garcia-Gausi3 Matteo Frasson(1) Victor Lago(4) Arantxa Blasco Serra(5) Juan Garcia-Armengol(6) Jose Vicente Roig-Vila(6) Alfonso A. Valverde-Navarro(5) (1) Department of Coloproctology, Hospital Universitari i Politecnic La Fe, Valencia 46026, Spain (2) Cardiovascular Surgery, Hospital Universitari Son Espases, Carretera Valldemossa, 79, Palma de Mallorca 07120, Spain (3) Department of Surgery, Hospital Punta de Europa, Algeciras, Cádiz, Spain (4) Department of Gynecologic Oncology, Hospital Universitari i Politecnic La Fe, Valencia 46026, Spain (5) Department of Anatomy and Embryology, Hospital Universitari i Politecnic La Fe, Valencia 46026, Spain (6) oloproctology Unit, Hospital 9 de Octubre, Valencia, Spain Video associated with Colorectal Disease Journal (published by Wiley and associated with the Association of Coloproctology Great Britain and Ireland (ACPGBI), European Society of Coloproctology (ESCP) and Spanish Society of Coloproctology (SSC). The videos on this channel are there for illustrative purposes only and the ideas, approaches and procedures shown in them are in no way recommended or endorsed by Colorectal Disease, its owner, editors or publisher.