Nigam′s Modified Roeder′s Knot in Cutting Seton in High Fistula-in-ano Prevents Rethreading and Reapplication of Seton

2020 ◽  
Vol 9 (4) ◽  
pp. 64
Author(s):  
VK Nigam ◽  
Siddharth Nigam
Keyword(s):  
Fistula In Ano ◽  
Cutting Seton

Modified Lift Versus Cutting Seton for Transphincteric Fistula -Experience at Tertiary Care Hospital

2021 ◽  
Vol 15 (12) ◽  
pp. 3257-3260
Author(s):  
Muhammad Najam Iqbal ◽  
Ashfaq Nasir
Keyword(s):  
Comparative Study ◽  
Anal Incontinence ◽  
Complete Healing ◽  
Fistula Tract ◽  
Fistula Closure ◽  
Fistula In Ano ◽  
Group A ◽  
Prospective Comparative Study ◽  
Cutting Seton ◽  
Group B

Background: Fistula in ano is a common disease which has high recurrence rate and high fecal incontinence rate after surgery. We compared modified LIFT (Ligation of the intersphincteric fistula tract (LIFT) through lateral approach ) with cutting seton for transphincteric fistula. Aim: This study is aimed at which procedure is better with respect to postoperative complications Study design: It was a prospective comparative study. Methods: This was a prospective comparative study from 01-01-2019 to 30-06-2021 which was conducted on 50 patients who presented with transsphincteric fistula in ano (FIA) in surgical ward of Bahawal Victoria Hospital Bahawalpur. Patients were divided into two groups .Patients of Group A underwent modified lift procedure and patients of group B underwent cutting seton procedure. Data was collected on a proforma which included patients’ name ,age ,sex, age group, comorbid disease like diabetes mellitus ,chronic liver disease, cardiovascular disease and chronic renal failure, fistula tract involving less than 50% or more than 50% external sphincter ,procedure done, healing time of wound, complications like recurrence and incontinence. Patients were followed for 6 months for healing rate ,recurrence and incontinence. Data was analysed on spss 22 version Results: In Group A, complete healing (fistula closure without recurrence) was achieved in 20 patients (80%) out of 25. There was no case of anal incontinence after the procedure. 5 (20%) patients experienced recurrence in 6 months . In Group B, complete healing (fistula closure without recurrence) was achieved in 21 patients (84%), in 6 months follow up . 4(16%) patients were diagnosed as a case of anal incontinence. There were 4 (16%) patients with recurrence. Conclusion: Modified LIFT is better in terms of incontinence where as cutting seton is better in terms of recurrence.it is suggested that for high lying fistula modified LIFT is better procedure and for low lying fistula involving less than 50% sphincter cutting seton is better procedure.. Keywords: Modified LIFT (ligation of ineter sphincteric fistula tract) ,Cutting seton , transphincteric fistula.

Prospective randomised trial comparing ayurvedic cutting seton and fistulotomy for low fistula-in-ano

2001 ◽  
Vol 5 (3) ◽  
pp. 137-141 ◽  
Author(s):  
K. S. Ho ◽  
C. Tsang ◽  
F. Seow-Choen ◽  
Y. H. Ho ◽  
C. L. Tang ◽  
...  
Keyword(s):  
Randomised Trial ◽  
Fistula In Ano ◽  
Prospective Randomised Trial ◽  
Cutting Seton

scholarly journals Combined Partial Fistulotomy and Cutting Seton Procedure for Complex Anal Fistula

2020 ◽  
Vol 7 (1) ◽  
pp. 40-43
Author(s):  
Md Mamunur Rahman ◽  
Nelema Jahan ◽  
Md Saiful Islam ◽  
Md Selim Sarker ◽  
Suman Chandra Roy ◽  
...  
Keyword(s):  
Demographic Data ◽  
Study Data ◽  
Data Types ◽  
Early Recovery ◽  
Fistula In Ano ◽  
Data Collection Sheet ◽  
Operative Complications ◽  
Complex Fistula ◽  
Cutting Seton ◽  
Post Operative Complications

Background: Fistula in ano of complex variety has been a common surgical problem. Varieties of surgical procedures are encountered for management of this disease but recurrence is a notorious complication of this disease. Objective: The purpose of the present study was to assess outcomes of complex fistula in ano after fistulotomy with seton procedure. Methodology: This prospective study was performed in Dhaka Dental College, Dhaka, Bangladesh from January 2017 to December 2018 for a period of two years. Patients were included in this study. Data collected in data collection sheet regarding demographic data, types of operative procedures, post-operative complications and outcome of patients which were then analyzed. Result: Total 31 patients were included in this study. Age ranged from 20 to 60 years. Male was 28(90.32%) cases and female was in 3(9.68%) cases. High trans-sphincteric fistula were 28(90.32%) cases, extra-sphincteric fistula were 3(9.68%) cases. Fistulotomy with cutting seton by rubber bands were 12(38.71%) cases, fistulotomy with cutting seton by silk 19(61.29%) cases. Seton fell on its own 16(51.61%) cases, not fell 15(48.39%). Post-operative complications were incontinence of gas 5(16.13%) cases, incontinence of stool 1(3.23%) cases, recurrence 1(3.23%) cases. Conclusion: Outcomes of fistulotomy with cutting seton were satisfactory in most patients. Early recovery, low complication rate were encountered in treatment of complex fistula in ano by partial fistulotomy with cutting seton procedure. Journal of Current and Advance Medical Research 2020;7(1): 40-43

scholarly journals MANAGEMENT OF FISTULA IN ANO

2009 ◽  
Vol 16 (01) ◽  
pp. 29-33
Author(s):  
TAYYAB ABBAS ◽  
ABID NAZIR ◽  
WASEEM SADIQ
Keyword(s):  
Anal Incontinence ◽  
Randomized Study ◽  
Complete Healing ◽  
Chi Square ◽  
Exact Test ◽  
Fistula In Ano ◽  
Medical College ◽  
Comparison Results ◽  
Complete Wound Healing ◽  
Cutting Seton

Aim: The aim of this study was to compare the efficacy and morbidity of two surgical procedures, firm cutting seton andloose seton / fistulotomy in the management of suprasphincteric and high trans-sphincteric fistula in ano. Setting: Jinnah Hospital / AllamaIqbal Medical college, Lahore. Period: June 1999 to January 2008. Methods: This is a prospective, randomized study of 50 consecutivepatients (25 in each group) suffering from suprasphincteric and high trans-sphincteric fistula in ano. Patients were randomly allocated oneof the two methods of treatment. In firm cutting seton, seton was repeatedly tightened with the interval of 15 days till the thread came outwhereas loose seton / fistulotomy was a two staged surgical procedure. Follow up was made for 12months to record the fistula recurrence,anal incontinence, duration of complete wound healing and number of hospitalizations. Comparison was made using standard statisticalmethods. Chi-square and Fisher's Exact test was applied for comparison. Results: There was no significant statistical difference betweenthe groups in age, sex and type of fistula. Patient treated with loose seton / fistulotomy required more than one hospitalization, more offwork and more expenditures as compared to firm cutting seton method. The rate of anal incontinence was more in patients treated withloose seton / fistulotomy. Recurrence rate was almost the same in both groups. Conclusion: Both techniques are equally effective ineradication of fistula but the rate of postoperative anal incontinence and duration of complete healing of the wound is more in patients treatedwith loose seton / fistulotomy.

scholarly journals Kharsutra Ligation with Partial Fistulectomy-As a Treatment for Anterior Trans-Sphincteric Fistula in Ano- A Case Study

2019 ◽  
Vol 7 (1) ◽  
pp. 46-49
Author(s):  
Soham Patel ◽  
Neha Thumar ◽  
Rajesh Sharma ◽  
Harshit Shah
Keyword(s):  
Surgical Treatment ◽  
External Sphincter ◽  
Fecal Continence ◽  
High Rate ◽  
Perianal Region ◽  
Sphincter Injury ◽  
Perianal Fistulas ◽  
Fistula In Ano ◽  
Cutting Seton

Perianal fistulas are prevalent in 0.01- 0.05% of the population and are commonly associated with discomfort and morbidity to the patient. Surgical treatment is the only modality of management of fistulas with the pitfall of high rate of recurrence In Transsphincteric fistulas, the track passes from the inter sphincteric space through the external sphincter into the Perianal region. Surgical treatment of perianal fistulas frequently affects fecal continence. Sphincter saving techniques like Ksharsutra (cutting seton) and fistulectomy has been advocated to minimize the risk of sphincter injury.

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