Seton drain for an anal fistula

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The aim of this retrospective study was to evaluate the rate of recurrence and incontinence after the treatment of fistulae or fistulous abscesses by using the staged drainage seton method. According to the condition, a drainage seton alone or a drainage seton combined with internal opening IO closure and relocation of the seton was used. After a period of time, the seton was changed with nylon; then, after another period of time, the authors terminated the treatment by removing the nylon.

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Please take this quick survey to tell us about what happens after you publish a paper. Techniques in Coloproctology. The aim of this study was to evaluate our experience in managing high anal fistulas with a simple modification of the cutting seton.

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Seton-based techniques are among popular methods for treating high type anal fistula. These techniques are categorized to cutting and noncutting regarding their mechanism of action. In this report we are about to describe a new technique, which is a combination of both mechanisms; we call it Pulling Seton.

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Study record managers: refer to the Data Element Definitions if submitting registration or results information. Anal fistula is the chronic phase of anorectal infection is characterized by chronic purulent drainage or cyclic pain associated with acute relapse of the abscess followed by intermittent spontaneous decompression. Perianal fistulas have a troublesome pathology. The most widely accepted theory is that anal abscess is caused by infection of an anal crypt gland.

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Anal fistula is a chronic abnormal communication between the epithelialised surface of the anal canal and usually the perianal skin. They can form when anal abscesses do not heal properly. Anal fistulae originate from the anal glandswhich are located between the internal and external anal sphincter and drain into the anal canal.

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Mayo Clinic doctors trained in colon and rectal surgery, gastroenterology, and infectious disease, as well as wound care experts, work together to evaluate and treat people with anal fistula. If you have Crohn's disease or another medical condition, Mayo Clinic specialists will collaborate with your primary care doctor to form the best treatment plan. Having all this expertise in a single place means that your care is discussed among the team, test results are available quickly, appointments are scheduled in coordination and the most highly specialized experts in the world are all working together for your health.

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An anal abscess is an infected cavity filled with pus found near the anus or rectum. Ninety percent of abscesses are the result of an acute infection in the internal glands of the anus. Occasionally, bacteria, fecal material or foreign matter can clog an anal gland and tunnel into the tissue around the anus or rectum, where it may then collect in a cavity called an abscess.

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Most anal fistulas form in reaction to an anal gland that has developed a pus-filled infection abscess. Even if your abscess drains on its own, you have about the same risk for a fistula. Certain conditions that affect your lower digestive tract or anal area may also increase your risk. These include:.

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Anal fistulas are generally common among those who have had an anal abscess. Treatment is usually necessary to reduce the chances of infection in an anal fistula, as well to alleviate symptoms. An anal fistula is defined as a small tunnel with an internal opening in the anal canal and an external opening in the skin near the anus.

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Back to Anal fistula. There are several different procedures. In many cases, it's not necessary to stay in hospital overnight afterwards. The most common type of surgery for anal fistulas is a fistulotomy.

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