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Seton in high anal fistula.

Sreecheta Mukherjee1, Ritankar Sengupta2, Sushil Ranjan Ghosal3

  • 1Resident Surgeon, Department of General Surgery, M. R. Bangur District Hospital, Kolkata, India.

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Summary
This summary is machine-generated.

Seton treatment for high anal fistulae is effective. Combining seton with partial fistulotomy showed similar, acceptable results compared to seton alone for complex anal fistula treatment.

Keywords:
Surgerydigestiveequipmentotherphysiologytreatment

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Area of Science:

  • Colorectal surgery
  • Gastroenterology
  • Surgical innovation

Background:

  • High anal fistulae present complex treatment challenges.
  • The seton technique offers a simple approach for managing these complex fistulae.
  • Evaluating adjunctive therapies to seton treatment is crucial.

Purpose of the Study:

  • To assess the efficacy of the 'kharsutra' seton in treating high anal fistulae.
  • To compare outcomes of seton alone versus seton with partial fistulotomy.
  • To determine the optimal management strategy for supra-sphincteric and transsphincteric fistulae.

Main Methods:

  • Retrospective single-centre study.
  • Inclusion of patients with supra-sphincteric and transsphincteric high anal fistulae.
  • Two treatment groups: seton alone and seton with partial fistulotomy.

Main Results:

  • Both treatment groups demonstrated similar and acceptable outcomes.
  • The 'kharsutra' seton proved effective in managing complex anal fistulae.
  • No significant difference in results between the two therapeutic approaches.

Conclusions:

  • Seton therapy, particularly with the 'kharsutra', remains a valid and effective option for high anal fistulae.
  • Partial fistulotomy as an adjunct to seton therapy does not significantly alter outcomes.
  • Simple and effective management strategies are key for complex anal fistula treatment.