Split-shot sinker facilitates seton treatment of anal fistulae.

Title

Split-shot sinker facilitates seton treatment of anal fistulae.

Creator

Awad M L; Sell H W; Stahlfeld K R

Publisher

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

Date

2009
2009-06

Description

OBJECTIVE: The cutting seton is an inexpensive and effective method of treating high complex perianal fistulae. Following placement of the seton, advancement through the external sphincter muscles requires progressive tightening of the seton. The requirement for maintaining the appropriate tension and onset of perianal pressure necrosis are problems frequently encountered using this technique. METHOD: Using a 3-0 polypropylene suture, a red-rubber catheter, and a nontoxic tin split-shot sinker, we minimized or eliminated these problems. RESULTS: We initially used this technique in one patient with satisfactory results. CONCLUSION: This technique is technically easy, safe, inexpensive, and efficient, and we are using it in all patients with high perianal fistulae who require a seton.

Subject

*Surgical Instruments; *Suture Anchors; *Suture Techniques; Female; Humans; Rectal Fistula/*surgery

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

524–526

Issue

5

Volume

11

Citation

Awad M L; Sell H W; Stahlfeld K R, “Split-shot sinker facilitates seton treatment of anal fistulae.,” NEOMED Bibliography Database, accessed August 16, 2022, https://neomed.omeka.net/items/show/4458.

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