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The Use of a Staged Drainage Seton for the Treatment of Anal Fistulae or Fistulous Abscesses

PURPOSE: The aim of this retrospective study was to evaluate the rate of recurrence and incontinence after the treatment of fistulae or fistulous abscesses by using the staged drainage seton method. METHODS: According to the condition, a drainage seton alone or a drainage seton combined with interna...

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Autores principales: Lim, Cheong Ho, Shin, Hyeon Keun, Kang, Wook Ho, Park, Chan Ho, Hong, Sa Min, Jeong, Seung Kyu, Kim, June Young, Yang, Hyung Kyu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Coloproctology 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3548146/
https://www.ncbi.nlm.nih.gov/pubmed/23346510
http://dx.doi.org/10.3393/jksc.2012.28.6.309
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author Lim, Cheong Ho
Shin, Hyeon Keun
Kang, Wook Ho
Park, Chan Ho
Hong, Sa Min
Jeong, Seung Kyu
Kim, June Young
Yang, Hyung Kyu
author_facet Lim, Cheong Ho
Shin, Hyeon Keun
Kang, Wook Ho
Park, Chan Ho
Hong, Sa Min
Jeong, Seung Kyu
Kim, June Young
Yang, Hyung Kyu
author_sort Lim, Cheong Ho
collection PubMed
description PURPOSE: The aim of this retrospective study was to evaluate the rate of recurrence and incontinence after the treatment of fistulae or fistulous abscesses by using the staged drainage seton method. METHODS: According to the condition, a drainage seton alone or a drainage seton combined with internal opening (IO) closure and relocation of the seton was used. After a period of time, the seton was changed with 3-0 nylon; then, after another period of time, the authors terminated the treatment by removing the 3-0 nylon. Telephone interviews were used for follow-up. The following were evaluated: the relationship between the type of fistula and recurrence; the relationship between the type of fistula and the period of treatment; the relationship between the recurrence and presence of abscess; the relationship between IO closure and recurrence; the relationship between the period of seton change and recurrence; reported continence for flatus, liquid stool, and solid stool. RESULTS: The recurrence rate of fistulae or suppuration was 6.5%, but for cases of horseshoe extension, the recurrence rate was 57.1%. The rate of recurrence was related to the type of fistula (P = 0.001). Incontinence developed in 3.8% of the cases. No statistically significant relationship was found between the rate of recurrence and the presence of an abscess or between the closure of the IO and the period of seton change or removal. CONCLUSION: In the treatment of anal fistulae or fistulous abscesses, the use of a staged drainage seton can reduce the rate of recurrence and incontinence.
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spelling pubmed-35481462013-01-23 The Use of a Staged Drainage Seton for the Treatment of Anal Fistulae or Fistulous Abscesses Lim, Cheong Ho Shin, Hyeon Keun Kang, Wook Ho Park, Chan Ho Hong, Sa Min Jeong, Seung Kyu Kim, June Young Yang, Hyung Kyu J Korean Soc Coloproctol Original Article PURPOSE: The aim of this retrospective study was to evaluate the rate of recurrence and incontinence after the treatment of fistulae or fistulous abscesses by using the staged drainage seton method. METHODS: According to the condition, a drainage seton alone or a drainage seton combined with internal opening (IO) closure and relocation of the seton was used. After a period of time, the seton was changed with 3-0 nylon; then, after another period of time, the authors terminated the treatment by removing the 3-0 nylon. Telephone interviews were used for follow-up. The following were evaluated: the relationship between the type of fistula and recurrence; the relationship between the type of fistula and the period of treatment; the relationship between the recurrence and presence of abscess; the relationship between IO closure and recurrence; the relationship between the period of seton change and recurrence; reported continence for flatus, liquid stool, and solid stool. RESULTS: The recurrence rate of fistulae or suppuration was 6.5%, but for cases of horseshoe extension, the recurrence rate was 57.1%. The rate of recurrence was related to the type of fistula (P = 0.001). Incontinence developed in 3.8% of the cases. No statistically significant relationship was found between the rate of recurrence and the presence of an abscess or between the closure of the IO and the period of seton change or removal. CONCLUSION: In the treatment of anal fistulae or fistulous abscesses, the use of a staged drainage seton can reduce the rate of recurrence and incontinence. The Korean Society of Coloproctology 2012-12 2012-12-31 /pmc/articles/PMC3548146/ /pubmed/23346510 http://dx.doi.org/10.3393/jksc.2012.28.6.309 Text en © 2012 The Korean Society of Coloproctology http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Lim, Cheong Ho
Shin, Hyeon Keun
Kang, Wook Ho
Park, Chan Ho
Hong, Sa Min
Jeong, Seung Kyu
Kim, June Young
Yang, Hyung Kyu
The Use of a Staged Drainage Seton for the Treatment of Anal Fistulae or Fistulous Abscesses
title The Use of a Staged Drainage Seton for the Treatment of Anal Fistulae or Fistulous Abscesses
title_full The Use of a Staged Drainage Seton for the Treatment of Anal Fistulae or Fistulous Abscesses
title_fullStr The Use of a Staged Drainage Seton for the Treatment of Anal Fistulae or Fistulous Abscesses
title_full_unstemmed The Use of a Staged Drainage Seton for the Treatment of Anal Fistulae or Fistulous Abscesses
title_short The Use of a Staged Drainage Seton for the Treatment of Anal Fistulae or Fistulous Abscesses
title_sort use of a staged drainage seton for the treatment of anal fistulae or fistulous abscesses
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3548146/
https://www.ncbi.nlm.nih.gov/pubmed/23346510
http://dx.doi.org/10.3393/jksc.2012.28.6.309
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