Email this article MANAGEMENT OF HIGH FISTULA IN ANO WITH CUTTING SETON
Abstract
BACKGROUND
The aim of this study was to determine the rate of faecal incontinence and recurrence in patients with high fistula in ano treated with Polypropylene (prolene-1) as cutting seton.
MATERIAL & METHODS:
This is a prospective study of 30 consecutive patients of high fistula in ano treated with cutting seton at Mufti Mehmood Memorial Teaching Hospital, D.I.Khan from 01/4/2011 to 31/3/2014. Followup was made for at least 6 months to record the fistula recurrence, anal incontinence and duration of complete wound healing.
RESULTS
The study involved 30 patients of mean age 40 years ( range 20 to 66 years ). Complete healing occurred in all the patients (100%) within 3 months. Recurrent fistula was noted in one patient (3.3%) at 5 months while none (0%) developed incontinence.
CONC LUSION
Treatment of high fistula in ano with cutting seton is associated with low complication rate provided that meticulous technique is followed. It can therefore be recommended as the standard treatment for high fistula in ano.
KEY WORDS
High fistula in ano, cutting seton, polypropylene as seton, recurrent fistula in ano
The aim of this study was to determine the rate of faecal incontinence and recurrence in patients with high fistula in ano treated with Polypropylene (prolene-1) as cutting seton.
MATERIAL & METHODS:
This is a prospective study of 30 consecutive patients of high fistula in ano treated with cutting seton at Mufti Mehmood Memorial Teaching Hospital, D.I.Khan from 01/4/2011 to 31/3/2014. Followup was made for at least 6 months to record the fistula recurrence, anal incontinence and duration of complete wound healing.
RESULTS
The study involved 30 patients of mean age 40 years ( range 20 to 66 years ). Complete healing occurred in all the patients (100%) within 3 months. Recurrent fistula was noted in one patient (3.3%) at 5 months while none (0%) developed incontinence.
CONC LUSION
Treatment of high fistula in ano with cutting seton is associated with low complication rate provided that meticulous technique is followed. It can therefore be recommended as the standard treatment for high fistula in ano.
KEY WORDS
High fistula in ano, cutting seton, polypropylene as seton, recurrent fistula in ano
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Copyright (c) 2020 Akhtar Munir, Sheikh Qais Falah
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