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Review Article

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Setons in the Treatment of Anal Fistula: Review of Variations in Materials and Techniques

Subhas G. · Singh Bhullar J. · Al-Omari A. · Unawane A. · Mittal V.K. · Pearlman R.

Author affiliations

Department of Surgery, Providence Hospital and Medical Centers, Southfield, Mich., USA

Corresponding Author

Gokulakkrishna Subhas, MD, MRCS

Department of Surgery

Providence Hospital and Medical Centers

16001 W. Nine Mile Road, Southfield, MI 48075 (USA)

E-Mail drsgokul@yahoo.com

Related Articles for ""

Dig Surg 2012;29:292–300

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Abstract

Aim: Anorectal fistulas have been a common surgical problem since ancient times. Age-old seton techniques are still practicedsuccessfully in the treatment of complex anal fistulas. Many variations in materials and techniques are described in the literature. The selection of a seton type and technique depends on personal preferences. Our aim was to put together all the available variations in materials and techniques for seton treatment. This comprehensive review will help the surgeon to become more familiar with the various options available with regard to materials and techniques. Methods: A review of the literature using Medline was done using the Key Words ‘anal fistula’ and ‘seton’. All articles published in English were reviewed. The articles which had variations in materials and techniques for seton treatment were studied. Results: Various aspects of variations in materials, insertion techniques, maintenance of tension, mechanisms of action, drainage techniques and changing the seton have been elaborated in detail. Conclusions: Throughout this paper we present the various available variations in setons with regard to materials, placement and maintenance techniques. This study will help clinicians in choosing a new seton variation or modifying their current method of treatment with setons.

© 2012 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of Review Article

Received: March 06, 2012
Accepted: August 06, 2012
Published online: August 31, 2012
Issue release date: November 2012

Number of Print Pages: 9
Number of Figures: 6
Number of Tables: 1

ISSN: 0253-4886 (Print)
eISSN: 1421-9883 (Online)

For additional information: https://www.karger.com/DSU


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