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Cutting seton for complex anal fistulas.

C Chuang-Wei¹, W Chang-Chieh, H Cheng-Wen

¹Division of Colon and Rectal Surgery, Department of Surgery, Tri-service General Hospital, National Defense Medical Center, Taipei, Taiwan.

The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

|June 28, 2008

Summary

This summary is machine-generated.

A surgical glove elastic band cutting seton is safe and effective for complex anal fistulas, offering faster wound healing and fewer continence issues. This method shows low recurrence rates in a 15-year study.

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Area of Science:

Colorectal Surgery
Surgical Innovation
Fistula Treatment

Background:

Standardized protocols for cutting seton procedures are lacking in current medical literature.
Complex anal fistulas require effective and well-documented treatment strategies.

Purpose of the Study:

To evaluate the 15-year experience with cutting seton treatment for complex anal fistulas.
To detail the surgical technique, outcomes, and complications associated with this method.

Main Methods:

A retrospective review of 112 patients treated with cutting setons between 1990 and 2004.
Utilized elastic bands from surgical gloves as seton material.
Implemented weekly re-tightening of the seton after the initial operation.

Main Results:

The study included 112 patients (98 male, 14 female) with a median age of 43.
The mean follow-up was 38.6 months, with a recurrence rate of 0.9%.
Continence disorders affected 24.1% of patients (gas incontinence 18.6%, liquid stool incontinence 5.4%).

Conclusions:

Elastic band cutting setons are a safe and effective treatment for complex anal fistulas.
This technique demonstrates shorter wound healing times and reduced continence disturbances.
Low recurrence rates support the efficacy of this approach in managing anal fistulas.