The type of loose seton for complex anal fistula is essential to improve perianal comfort and quality of life

Abstract

The Comfort Drain offers improved perianal comfort and better quality of life compared with a conventional loose seton and therefore facilitates long-term therapy in patients with complex fistula-in-ano.

Knotless seton for perianal fistulas: feasibility and effect on perianal disease activity

“…Knotless seton (re)placement appeared clinically relevant in all patients with a conventional knotted seton in situ, but not in Crohn's patients with undrained fistulas. The study of Kristo et al 13 reported similar results with significantly improved physical and mental health and less burning sensation and pruritis in 22 patients treated with the Comfort Drain, the only other knotless seton which is commercially available. In our subjective experience, after implementing the Comfort Drain in daily clinical practice, this knotless seton appeared to fall out easily and the extra arrow shaped secure hooks in the insert system of the novel knotless seton aim to prevent this.…”

Comparison of high-flux hemodialysis with hemodialysis filtration in treatment of uraemic pruritus: a randomized controlled trial

“…It has been certified that the Visual Analogue Scale scores are increasing in UP patients [31]. In this study, we showed that the mean Visual Analogue Scale value or Modified Duo's VAG Scale value in both two groups was obviously decreased, but the mean Visual Analogue Scale value or Visual Analogue Scale scores in the HFHD group had a better improvement than in the control group within 12 weeks of treatment.…”

Análisis y descripción de la calidad de vida específica en pacientes con fístula anal

“…Así, Kelly et al 35 informan de una buena tolerancia en el 96% de sus pacientes. Otros autores 19 , defienden que el tipo de setón laxo es fundamental para mejorar la calidad de vida, y muestran como el uso del "knot-free Confort Drain" mejora la calidad de vida de forma significativa en los scores de salud físicos y mentales, en comparación con el uso del setón laxo convencional. De acuerdo a la Escala Analógica Visual utilizada, los pacientes con "Confort Drain" lograban mayor confort con menos sensación de quemazón y prurito.…”

“…Hasta la fecha, los estudios publicados que miden la calidad de vida en pacientes con fístula perianal utilizan cuestionarios generales (SF-12, SF-36) 17,20 y/o relacionados con la incontinencia (St Mark´s Incontinente Score 17,19 , Wexner Score 21 , FIQL 21 , Cleveland Incontinente Score 22 ). Recientemente, se ha publicado un cuestionario para medir específicamente la calidad de vida en pacientes diagnosticados de fístula perianal (Quality of Life in patients with Anal Fistula Questionnaire (QoLAF-Q)) 23 .…”

“…Al valorar la presencia de uno o más OFEs, no se observaron diferencias significativas (p=0.496) entre los pacientes con un OFE (n=78; rango medio=40.20) y los que tenían dos o más (n=2; rango medio=52.25). Tampoco se encontraron diferencias significativas (p=0.478) en la calidad de vida de pacientes continentes (n=78; rango medio=52.75) e incontinentes (n=2; rango medio=40,19).…”