Hellow guys, Welcome to my website, and you are watching CUTTING SETON TREATMENT OF HIGH ANAL FISTULA. and this vIdeo is uploaded by Dr Pravin J Gupta, MBBS MS Laxmi Nagar, NAGPUR, IN at 2025-01-26T15:59:38-08:00. We are pramote this video only for entertainment and educational perpose only. So, I hop you like our website.
| Name | CUTTING SETON TREATMENT OF HIGH ANAL FISTULA |
| Video Uploader | Video From Dr Pravin J Gupta, MBBS MS Laxmi Nagar, NAGPUR, IN |
| Upload Date | This Video Uploaded At 26-01-2025 23:59:38 |
| Video Discription | DISCLAIMER- MEDICAL EDUCATIONAL VIDEO. NOT TO PROMOTE SEXUALITY OR NUDITY. DISCLAIMER- Medical Educational Video. Not to promote sexuality or Nudity. Setons A seton is a foreign body (eg, a fine rubber sling or a heavy nylon suture), which is passed through the fistula and tied at its exit to the skin. There are two types of seton: cutting and loose. Loose setons can be used to drain sepsis when a procedure to cure the fistula is not intended. A loose seton may be removed in the outpatient department after a few months or replaced under anesthetic. A cutting seton is one that is placed snugly around the part of the fistula track that passes through the external sphincter. Before placing the cutting seton, the superficial component of the fistula is laid open. The cutting seton is tightened in the outpatient setting or at a future EUA. In the search for the least uncomfortable material with the lowest rate of incontinence, many materials have been tried, including self-locking cable ties (inexpensive, commercially available nylon bands with a ratchet) in one study from Turkey. However, the incontinence rate of the cutting seton is approximately 12% overall (including incontinence of flatus) as reported in a literature review by Ritchie et al Several operations involving setons may be performed over several months, with more of the track being laid open each time. This is known as a staged fistulotomy. Removal of a loose seton without a staged fistulotomy results in healing in the majority of patients, with very little postoperative incontinence; however, long-term follow-up shows that the majority of these fistulae recur with time . Some authors advocate the use of a loose seton alone, especially because this makes incontinence very unlikely and is a comfortable long-term strategy in patients with Crohn’s disease. However, loose setons are more frequently used as part of a surgical strategy that combines the various available treatments. |
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