2010
DOI: 10.1111/j.1463-1318.2009.01796.x
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Long‐term outcome of loose seton for complex anal fistula: a two‐centre study of patients with and without Crohn’s disease

Abstract: The fistula recurrence rate following two-stage seton fistulotomy in non-CD patients was high. In CD patients the use of permanent loose seton is effective in controlling local sepsis in about half of patients and has low rates of subsequent incontinence.

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Cited by 52 publications
(40 citation statements)
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“…Recurrence rates around 25% -80% have been reported in the literature with using long-term loose-seton techniques for complex perianal fistula [1] [12]. Although follow-up ranged between 12 -36 months (mean, 25 months), there were no recurrences in our study This may be criticized, since the follow-up time was relatively short, but most of the recurrences occur in the first two-year period postoperatively.…”
Section: Discussioncontrasting
confidence: 52%
See 1 more Smart Citation
“…Recurrence rates around 25% -80% have been reported in the literature with using long-term loose-seton techniques for complex perianal fistula [1] [12]. Although follow-up ranged between 12 -36 months (mean, 25 months), there were no recurrences in our study This may be criticized, since the follow-up time was relatively short, but most of the recurrences occur in the first two-year period postoperatively.…”
Section: Discussioncontrasting
confidence: 52%
“…Therefore, this technique recommended reduced postoperative anal incontinence in the literature. Loose seton is defined as a ligature made from any type of material placed in the fistulous track around the anal sphincter and tied without tension [1] [2]. The aim of the study is to analyze the effect of loose Seton technique for cryptogenic originated in high transsphincteric anal fistula, on the results of recurrence and its effect on anal pressure changes and postoperative anal incontinence.…”
Section: Introductionmentioning
confidence: 99%
“…Although the cutting seton at one time was thought to preserve continence in comparison with direct division, reports have not confirmed this reputed advantage. Minor disturbance of continence occurs in 34-63 % of patients along with impaired anal manometry and postoperative deformity of the anal canal [41,48]. Additionally, cutting setons are not well tolerated because of the discomfort associated with frequent tightening of the cutting seton.…”
Section: Fistulotomymentioning
confidence: 97%
“…Palliation can be achieved with placement of a noncutting seton, thereby providing continuous drainage and control of local sepsis. Healing can be achieved in 48%-100% of patients without any other intervention other than removal of the seton when sepsis resolves, 25,[35][36][37] with a median time to seton removal ranging from 3-58 months. However, recurrence is common, with long-term (median of 142 months) relapse rates as high as 90%.…”
Section: Anorectal Diseasementioning
confidence: 98%