Curing seton anal fistula

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Anal fistula is a chronic abnormal communication between the epithelialised surface of the anal canal and usually the perianal skin. They can form when anal abscesses do not heal properly. Anal fistulae originate from the anal glandswhich are located between the internal and external anal sphincter and drain into the anal canal.

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In France, seton drainage followed by fistulotomy is currently the standard treatment for high cryptoglandular fistula-in-ano. In future, a randomized comparison of this agent with fibrin glues should be useful. There are two conflicting objectives in the surgical treatment of fistula-in-ano: preservation of sphincter function to ensure post-cure continence; and elimination of suppuration, with healing of the primary orifice to avoid recurrence.

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An anal abscess is an infected cavity filled with pus found near the anus or rectum. Ninety percent of abscesses are the result of an acute infection in the internal glands of the anus. Occasionally, bacteria, fecal material or foreign matter can clog an anal gland and tunnel into the tissue around the anus or rectum, where it may then collect in a cavity called an abscess.

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Seton-based techniques are among popular methods for treating high type anal fistula. These techniques are categorized to cutting and noncutting regarding their mechanism of action. In this report we are about to describe a new technique, which is a combination of both mechanisms; we call it Pulling Seton.

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Surgery is almost always necessary to cure an anal fistula. The surgery is performed by a colon and rectal surgeon. The goal of the surgery is a balance between getting rid of the fistula while protecting the anal sphincter muscles, which could cause incontinence if damaged.

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Cutting seton in management of complex perianal fistula — is it a safe procedure? Objective The aim of this study was to evaluate the effectiveness, frequency of incontinence, and recurrence after treatment of complex perianal fistula with cutting seton. Background Cutting seton commonly is prescribed for complex perianal fistula, because it is simple and cheap, but high incontinence rates suggest that cutting seton can damage continence musculature.

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Back to Anal fistula. There are several different procedures. In many cases, it's not necessary to stay in hospital overnight afterwards.

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Most anal fistulas form in reaction to an anal gland that has developed a pus-filled infection abscess. Even if your abscess drains on its own, you have about the same risk for a fistula. Certain conditions that affect your lower digestive tract or anal area may also increase your risk.

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Anal fistula is among the most common illnesses affecting man. Medical literature dating back to BC has discussed this problem. Various causative factors have been proposed throughout the centuries, but it appears that the majority of fistulas unrelated to specific causes e.

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Many anal fistulas will require some kind of surgery as very few heal on their own. There are a few different types of surgery which can be used. The type of surgery you may have will depend on where your fistula is and whether it is a simple or complex fistula.

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