Treatment of Complex Fistula in Ano with Cable-Tie Seton : A Prospective Case Series
Joint Authors
Laghari, Altaf Ali
Memon, Ayaz Ahmad
Chawla, Tabish
Azami, Rizwan
Murtaza, Ghulam
Zafar, Hasnain
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-04-28
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Objective.
To determine the fecal incontinence and recurrence rate in patients with complex fistula in ano managed with cable tie seton at a tertiary care teaching hospital.
Methods.
This is a prospective case series of patients with complex anal fistula i.e.
recurrent fistula or encircling >30% of external anal sphincter, managed with cable tie seton from March 2003 to March 2009.
Patients were seen in the clinic after 72 hours of seton insertion under anesthesia and then every other week.
Each time the cable-tie was tightened if found loose without anesthesia and incontinence was inquired according to wexner's score.
Results.
Seventy nine patients were treated during the study period with the age (mean ± standard deviation) of 41 ± 10.6 years and.
The seton was tightened with a median of six times (3–15 times range).
Complete healing was achieved in 11.2 ± 5.7 weeks.
All the patients were followed for a minimum period of one year and none of the patients had any incontinence.
Recurrence was found in 4 (5%) patients.
Conclusion.
The cable tie seton is safe, cost effective and low morbidity option for the treatment of complex fistulae-in-ano.
It can, therefore, be recommended as the standard of treatment for complex fistulae-in-ano requiring the placement of a seton.
American Psychological Association (APA)
Memon, Ayaz Ahmad& Murtaza, Ghulam& Azami, Rizwan& Zafar, Hasnain& Chawla, Tabish& Laghari, Altaf Ali. 2011. Treatment of Complex Fistula in Ano with Cable-Tie Seton : A Prospective Case Series. ISRN Surgery،Vol. 2011, no. 2011, pp.1-5.
https://search.emarefa.net/detail/BIM-487090
Modern Language Association (MLA)
Memon, Ayaz Ahmad…[et al.]. Treatment of Complex Fistula in Ano with Cable-Tie Seton : A Prospective Case Series. ISRN Surgery No. 2011 (2011), pp.1-5.
https://search.emarefa.net/detail/BIM-487090
American Medical Association (AMA)
Memon, Ayaz Ahmad& Murtaza, Ghulam& Azami, Rizwan& Zafar, Hasnain& Chawla, Tabish& Laghari, Altaf Ali. Treatment of Complex Fistula in Ano with Cable-Tie Seton : A Prospective Case Series. ISRN Surgery. 2011. Vol. 2011, no. 2011, pp.1-5.
https://search.emarefa.net/detail/BIM-487090
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-487090