Identification of the internal anal opening and seton placement improves the outcome of deep postanal space abscess

2013 ◽  
Vol 15 (5) ◽  
pp. 598-601 ◽  
Author(s):  
K.-K. Tan ◽  
X. Liu ◽  
C. B. Tsang ◽  
D. C. Koh
Keyword(s):  
Anal Opening ◽  
Seton Placement ◽  
Postanal Space

Surgical Management of Atresia Ani in a Crossbred Calf

2019 ◽  
Vol 15 (02) ◽  
pp. 81-82
Author(s):  
Madan Pal ◽  
Kashi Ram ◽  
Chander Pal Garhwal ◽  
Virender .
Keyword(s):  
Body Weight ◽  
Weight Gain ◽  
Body Weight Gain ◽  
Present Report ◽  
Genetic Disorders ◽  
Economic Loss ◽  
Intestinal Atresia ◽  
Congenital Defect ◽  
Surgical Correction ◽  
Anal Opening

Atresia ani is a congenital defect that describes the absence of a normal anal opening. It is fatal unless a surgical correction is carried out to provide an anal opening. In female, the rectum may break through the vagina, forming a rectovaginal fistula permitting defecation via the vulva. Surgical treatment of atresia ani is indicated to save the animal’s life and to improve body weight gain. Intestinal atresia has been reported as a congenital defect in all species of domestic animals (Gass and Tibboel, 1980). Atresia ani may be caused by genetic disorders (chromosomes or transgenesis), environmental factors, or a combination of both (Cassini et al., 2005). Monsang et al. (2011) reported a case of double vulva with atresia ani in a crossbred calf. Atresia ani should be treated by a surgical operation to solve the problem, improve body weight gain, and reduce economic loss. The present report records a case of atresia ani in a crossbred cow-calf and its successful surgical correction.

scholarly journals The Use of Seton as a Bridge to Definitive Ligation of the Intersphincteric Fistula Tract Procedure for Fistula-in-ano: A Systematic Review and Meta-analysis

2021 ◽  
Author(s):  
Carlos Placer-Galán ◽  
Jose Mª Enriquez-Navascués ◽  
Tania Pastor-Bonel ◽  
Ignacio Aguirre-Allende ◽  
Yolanda Saralegui-Ansorena
Keyword(s):  
Systematic Review ◽  
Anal Fistula ◽  
Meta Analysis ◽  
Fistula Tract ◽  
Cochrane Library ◽  
Fistula In Ano ◽  
Intersphincteric Fistula ◽  
The Impact ◽  
Seton Placement ◽  
Primary Healing

Abstract Background There is still controversy over the usefulness of seton placement prior to the ligation of the intersphincteric fistula tract (LIFT) surgery in the management of anal fistula. Objective To evaluate the impact of preoperative seton placement on the outcomes of LIFT surgery for the management of fistula-in-ano. Design systematic review and meta-analysis. Data Sources A search was performed on the MEDLINE (PubMed), EMBASE, Scopus, Web of Science, Cochrane Library and Google Scholar databases. Study Selection Original studies without language restriction reporting the primary healing rates with and without seton placement as a bridge to definitive LIFT surgery were included. Intervention The intervention assessed was the LIFT with and without prior seton placement. Main Outcome Measures The main outcome was defined as the primary healing rate with and without the use of seton as a bridge to definitive LIFT surgery. Results Ten studies met the criteria for systematic review, all retrospective, with a pooled study population of 772 patients. There were no significant differences in the percentages of recurrence between patients with and without seton placement (odds ratio [OR] 1.02; 95% confidence interval [CI] 0.73–1.43: p = 0.35). The I2 value was 9%, which shows the homogeneity of the results among the analyzed studies. The 10 included studies demonstrated a weighted average overall recurrence of 38% (interquartile range [IQR] 27–42.7%), recurrence with the use of seton was 40% (IQR 26.6–51.2%), and without its use, the recurrence rate was 51.3% (IQR 31.3–51.3%) Limitations The levels of evidence found in the available literature were relatively fair, as indicated after qualitative evaluation using the Newcastle-Ottawa scale and the Attitude Heading Reference System (AHRS) evidence levels. Conclusions Our meta-analysis suggests that the placement of seton as a bridge treatment prior to LIFT surgery does not significantly improve long-term anal fistula healing outcomes. Ligation of the intersphincteric fistula tract surgery can be performed safely and effectively with no previous seton placement.International prospective register of systematic reviews—PROSPERO registration number: CDR42020149173.

Sa1263 A Prospective Multicenter Trial Evaluating the Benefit of Initial Seton Placement Prior to Starting Anti-TNF Therapy for the Treatment of Crohn's Perianal Fistulas

2015 ◽  
Vol 148 (4) ◽  
pp. S-274-S-275 ◽  
Author(s):  
David A. Schwartz ◽  
Raymond Cross ◽  
Miguel Regueiro ◽  
Leyla J. Ghazi ◽  
Jason M. Swoger ◽  
...  
Keyword(s):  
Multicenter Trial ◽  
Perianal Fistulas ◽  
Prospective Multicenter Trial ◽  
Seton Placement

scholarly journals Comparison of Health Care Utilization and Costs Between Patients with Perianal Fistulizing Crohnʼs Disease Treated with Biologics with or Without Previous Seton Placement

2017 ◽  
Vol 23 (10) ◽  
pp. 1860-1866 ◽  
Author(s):  
David A. Schwartz ◽  
Anthony Wang ◽  
Burak Ozbay ◽  
Martha Skup ◽  
Samantha F. Eichner ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Care Utilization ◽  
Seton Placement

scholarly journals  Atresia coli in a Japanese black calf diagnosed by a barium sulphate enema contrast radiograph in the standing position: a case report

2012 ◽  
Vol 57 (No. 7) ◽  
pp. 376-379
Author(s):  
K. Abouelnasr ◽  
M. Ishii ◽  
H. Inokuma ◽  
Y. Kobayashi ◽  
K. Lee ◽  
...  
Keyword(s):  
Small Intestine ◽  
Case Report ◽  
Abdominal Distension ◽  
Standing Position ◽  
Barium Sulphate ◽  
Radiographic Examination ◽  
Anal Opening ◽  
Old Japanese ◽  
History Of ◽  
Colon And Rectum

A three day-old Japanese black calf was admitted with a history of abdominal distension and absence of defecation. Dilated loops of the small intestine and hypoplasia of the colon and rectum was observed upon a contrast radiographic examination in the standing position. At necropsy atresia coli with undeveloped rectum and patent anal opening was found. We conclude that a contrast radiograph in the standing position is useful for diagnosing atresia coli in such cases.  

The digestive tract of the echinopluteus of Echinocardium cordatum (Echinodermata, Echinoida): its ultrastructure and innervation

1994 ◽  
Vol 72 (12) ◽  
pp. 2090-2099 ◽  
Author(s):  
Leonid P. Nezlin ◽  
Vladimir V. Yushin
Keyword(s):  
Digestive Tract ◽  
Anal Sphincter ◽  
Myoepithelial Cells ◽  
Lower Lip ◽  
Echinocardium Cordatum ◽  
Anal Opening

The digestive tract of the echinopluteus of Echinocardium cordatum consists of a tubular oesophagus, spherical stomach, and large hemispherical intestine. The oesophagus is constructed from cells of one ultrastructural type and has subepithelial muscles oriented circumferentially and longitudinally. The cardiac and pyloric sphincters separating the stomach from the oesophagus and intestine, as well as the anal sphincter, consist of myoepithelial cells and subepithelial muscles. The cells of both the stomach and intestine are able to absorb nutrients and phagocytize food. Neuron-like cells were detected around the mouth, in the oesophageal epithelium, and around the anal opening. Axonal trunks pass at the base of the oesophageal epithelium and around the sphincters. The rest of the digestive tract is innervated by solitary axons. Catecholamine-containing neurons were found inside the lower lip ganglion, in the two suboral ganglia, and around the anal opening.

A NEW SPECIES OF KERMES

1900 ◽  
Vol 32 (7) ◽  
pp. 205-206
Author(s):  
E. E. Bogue
Keyword(s):  
New Species ◽  
Short Distance ◽  
Dark Spot ◽  
Anal Opening ◽  
Scale Variable ◽  
A New Species

Kermes trinotatus, n. sp.—Female scale variable in size, averaging about 5½ mm. long, 6 mm. wide, and 4½ mm. high; rounded above, somewhat flattened behind, convex beneath, front turned down into a more or less beak-like prominence; median groove obscure or broad and shallow; colour varies from bright argillaceous to dull gray; surface uniform, more or less conspicuously speckled with black; segmentation obscurely or plainly marked with dark spots. When the median groove is present it is crossed with more or less dark lines showing segmentation. There is a rounded dark spot on each side of the front, and an elongated dark blotch extending for a short distance above and below the anal opening: hence the specific appellation.

COMPARATIVE STUDY BETWEEN LIFT PROCEDURE VERSUS SETON PLACEMENT IN THE MANAGEMENT OF FISTULA IN ANO

2021 ◽  
pp. 61-64
Author(s):  
S. Yashwanth ◽  
T. Praneeth
Keyword(s):  
Postoperative Pain ◽  
Fistula Tract ◽  
Internal Opening ◽  
Fistula In Ano ◽  
Medical College ◽  
Group 12 ◽  
Group A ◽  
Intersphincteric Fistula ◽  
Group B ◽  
Seton Placement

INTRODUCTION: A stula-in-ano, is a chronic abnormal communication, usually lined by granulation tissue, which runs outwards from the anorectal lumen. The standards of anal stula surgery are to obliterate the stula, prevent recurrence and maintain sphincter work. Ligation of Intersphincteric Fistula Tract (LIFT) is the most promising surgical technique based on secure closure of the internal opening and removal of the infected crypto glandular tissue through intersphincteric approach. AIMS: To compare the effectiveness of LIFT over SETON procedure based on Postoperative pain on day 1 and2, Short term recurrence, Healing, Procedural visits PATIENTS AND METHODS: A prospective, single centered, interventional study in 60 patients with stula-in-ano admitted to general surgical wards in Narayana Medical College and Hospital, Nellore. From November 2018 to November 2020. Patients were divided into two groups, group A including patients undergoing LIFT procedure and group B, including patients undergoing SETON placement of Fistula-in- ano. RESULTS: Maximum patients were in 41-60 years in the LIFT Group 18(60%), 51-60 years in the SETON group 12(40%). Maximum patients were male 21 in each group (70%), and female were 9 in each group (30%). In the present study, Visual Analog Scale (0,1,2,3) in LIFT group on POD 1, were 2, 20, 6, 2 and in SETON group on POD 1 were 0, 9, 16, 5 respectively. Similarly, visual analogue scale (0,1,2,3) in LIFT group on POD 2, were 19.8.3.0 and in SETON group on POD 2 were 5, 20, 5, 0respectively. Patients who underwent LIFT procedure had a satisfactory postoperative period and the wound healed in all the cases. CONCLUSION: we conclude that LIFT gives good outcomes in terms of Postoperative pain on day 1 and 2, wound healing rate, single time procedure and recurrence during our short follow-up period of 6 months.

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