REMOVAL OF SETON IN A COMPLEX ANAL FISTULA

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A seton is a string-like material used to treat complex anal fistulas. Setons are inserted into the fistula tract and tightened over time to gradually divide the muscle and create a fibrotic tract. This process can help prevent the sphincter from retracting and maintain continuity.
Seton type
Description
Cutting seton
A seton that's tightened to gradually divide the muscle. This technique can cure the fistula, but it can also cause incontinence and severe pain.
Drainage seton
A seton that can help protect the sphincter complex, but it may fail if the deep intersphincteric space doesn't open fully.
Loose seton
A seton that can improve drainage and speed up healing, but it doesn't pose a high risk of sphincter injury.
Other types of setons include cable ties, silastic tubes, silk, linen, braided silk, rubber bands, braided polyester, vascular loops, polypropylene, and nylon.
Setons are a common treatment for complex anal fistulas, which are abnormal passages that develop from the anus to the skin outside. Symptoms include discharge, anal discomfort, skin irritation, and difficulty with bowel movements.
Category
Urology
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