Long-term results of cutting seton fistulotomy.

H. Hasegawa, S. Radley, M. R. Keighley

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

BACKGROUND/AIMS: To determine the long term outcome of cutting seton fistulotomy. MATERIALS AND METHOD: An audit of fistula surgery using a cutting seton for cryptoglandular sepsis identified 32 patients treated between 1988-1996. The majority of the patients had a trans-sphincteric (26/32, 81%) fistula. RESULTS: Fourteen (44%) had had previous fistula surgery before seton fistulotomy. Follow up was complete in 28 patients: 8 patients had recurrence (29%), 4 at a new site and 4 at the same site after apparent healing. Major incontinence was reported by 3 patients, minor incontinence by 7 and soiling by 5, but only 7 patients worsened after the cutting seton fistulotomy. Major incontinence was reported only by women who had a previous vaginal delivery. CONCLUSIONS: Cutting setons do not always preserve continence in high trans-sphincteric and complex fistulas. Patients should be warned about a high recurrence rate after cutting seton fistulotomy. The use of a cutting seton for anterior fistulas in female patients with a history of vaginal delivery should be avoided because of the risk of incontinence.

Original languageEnglish
Pages (from-to)19-21
Number of pages3
JournalActa chirurgica Iugoslavica
Volume47
Issue number4 Suppl 1
Publication statusPublished - 2000
Externally publishedYes

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Fistula
Recurrence
Sepsis

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Hasegawa, H., Radley, S., & Keighley, M. R. (2000). Long-term results of cutting seton fistulotomy. Acta chirurgica Iugoslavica, 47(4 Suppl 1), 19-21.

Long-term results of cutting seton fistulotomy. / Hasegawa, H.; Radley, S.; Keighley, M. R.

In: Acta chirurgica Iugoslavica, Vol. 47, No. 4 Suppl 1, 2000, p. 19-21.

Research output: Contribution to journalArticle

Hasegawa, H, Radley, S & Keighley, MR 2000, 'Long-term results of cutting seton fistulotomy.', Acta chirurgica Iugoslavica, vol. 47, no. 4 Suppl 1, pp. 19-21.
Hasegawa H, Radley S, Keighley MR. Long-term results of cutting seton fistulotomy. Acta chirurgica Iugoslavica. 2000;47(4 Suppl 1):19-21.
Hasegawa, H. ; Radley, S. ; Keighley, M. R. / Long-term results of cutting seton fistulotomy. In: Acta chirurgica Iugoslavica. 2000 ; Vol. 47, No. 4 Suppl 1. pp. 19-21.
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abstract = "BACKGROUND/AIMS: To determine the long term outcome of cutting seton fistulotomy. MATERIALS AND METHOD: An audit of fistula surgery using a cutting seton for cryptoglandular sepsis identified 32 patients treated between 1988-1996. The majority of the patients had a trans-sphincteric (26/32, 81{\%}) fistula. RESULTS: Fourteen (44{\%}) had had previous fistula surgery before seton fistulotomy. Follow up was complete in 28 patients: 8 patients had recurrence (29{\%}), 4 at a new site and 4 at the same site after apparent healing. Major incontinence was reported by 3 patients, minor incontinence by 7 and soiling by 5, but only 7 patients worsened after the cutting seton fistulotomy. Major incontinence was reported only by women who had a previous vaginal delivery. CONCLUSIONS: Cutting setons do not always preserve continence in high trans-sphincteric and complex fistulas. Patients should be warned about a high recurrence rate after cutting seton fistulotomy. The use of a cutting seton for anterior fistulas in female patients with a history of vaginal delivery should be avoided because of the risk of incontinence.",
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