Simplified seton management for complex anal fistulas

1991 ◽  
Vol 34 (12) ◽  
pp. 1135-1137 ◽  
Author(s):  
William C. Cirocco ◽  
Lawrence C. Rusin
Keyword(s):  
Anal Fistulas ◽  
Complex Anal Fistulas

scholarly journals Fecal diversion in complex anal fistulas: Is there a way to avoid it?

2021 ◽  
Vol 9 (25) ◽  
pp. 7306-7310
Author(s):  
Pankaj Garg ◽  
Vipul D Yagnik ◽  
Sushil Dawka
Keyword(s):  
Fecal Diversion ◽  
Anal Fistulas ◽  
Complex Anal Fistulas

scholarly journals Clinical Role of Modified Seton Procedure and Coring Out for Treatment of Complex Anal Fistulas Associated With Hidradenitis Suppurativa

2015 ◽  
Vol 100 (6) ◽  
pp. 974-978
Author(s):  
Yukihiko Tokunaga ◽  
Hirokazu Sasaki
Keyword(s):  
Hidradenitis Suppurativa ◽  
Fecal Continence ◽  
Purulent Discharge ◽  
Fistula Tract ◽  
Surgical Operation ◽  
Anal Fistulas ◽  
Clinical Role ◽  
Complex Anal Fistulas

A variety of techniques have been described to treat complex anal fistulas. When complex anal fistulas are associated with hidradenitis suppurativa, the treatment has to be appropriately tailored for the severity and distribution of the disease so as to remove the external fistula tract to prevent recurrence while ensuring fecal continence. Between 2007 and 2011, a total of 10 males (ranging in age from 32 to 54 years) complained of recurrent purulent discharge in the buttocks and thigh regions. The discharge had started about 12 to 18 months prior, and had increased progressively resulting in complex anal fistulas and hidradenitis suppurativa in the buttocks. They underwent surgical operation according to a modified seton procedure for complex anal fistulas and coring out for hidradenitis suppurativa. They were discharged from the hospital in 4 to 5 days, while the seton dropped spontaneously about 6 to 8 months after surgery. They have been well without any morbidities or recurrence. The present paper demonstrates that cases of complex anal fistulas associated with hidradenitis suppurativa can be successfully treated with a modified seton procedure and coring out of hidradenitis suppurativa.

Treatment of Complex Anal Fistulas with the Collagen Fistula Plug

2008 ◽  
Vol 51 (10) ◽  
pp. 1482-1487 ◽  
Author(s):  
Dimitrios Christoforidis ◽  
David A. Etzioni ◽  
Stanley M. Goldberg ◽  
Robert D. Madoff ◽  
Anders Mellgren
Keyword(s):  
Anal Fistulas ◽  
Fistula Plug ◽  
Complex Anal Fistulas

scholarly journals Three-dimensional endoanal ultrasound in complex anorectal fistulas

2016 ◽  
Vol 63 (1) ◽  
pp. 75-81
Author(s):  
Giulio Santoro
Keyword(s):  
Fistulous Tract ◽  
Three Dimensional ◽  
Ease Of Use ◽  
Endoanal Ultrasound ◽  
Anal Continence ◽  
Anal Fistulas ◽  
Wide Availability ◽  
Colorectal Surgeons ◽  
Perianal Sepsis ◽  
Complex Anal Fistulas

The management of complex anorectal fistulas is associated with potential risk of fecal incontinence and recurrences. Understanding type and height of the fistulous tract has clinical relevance for colorectal surgeons in order to select the optimal surgical approach. History and physical examination along with selective imaging to delineate the anatomy of the fistula are critical to individualize the patient?s treatment. Three-dimensional endoanal ultrasound provides an accurate and reproducible assessment of perianal sepsis and in many cases, the result is not different from that of MRI. Due to higher panoramicity, multiplanar reconstruction allows to visualize the fistula tracts in the context of the surrounding structures. Ultrasound has several important advantages: relative ease of use, minimal discomfort, cost-effectiveness, relatively non-time consuming, and wide availability in the clinical setting. This modality has a favourable impact on the outcome of surgical treatment for complex anal fistulas reducing the recurrence rate, minimizing postoperative complications and preserving anal continence.

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