Complicated anal fistula












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Treating Anal Fistula With The Anal Fistula Plug

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Management of anal fistula

Cable-tie seton does not suffer the problems of loosening as in elastic tie [ 12 ], cumbersome and imprecise tightening as faced in bunch of silk ties, or second procedure as in draining setons. Treatment, in the form of surgery, is considered essential to allow drainage and prevent infection. The British Journal of Surgery. Although the cost of MRI is more than the cost of procedure itself, with this cautious technique, we can achieve the best possible results without radiological aids. Patients with existing preoperative incontinence, loss to followup, inflammatory bowel disease, intestinal tuberculosis, anorectal tumor, or ASA IV were excluded. The wad of gauze is retained in place by an undergarment. Treatment depends on where the fistula lies, and which parts of the internal and external anal sphincters it crosses. In the operation room, the patients were evaluated in the lithotomy position. It can, therefore, be recommended as the standard of treatment for complex fistulae-in-ano requiring the placement of a seton. Most of the fistula-in-ano has been conventionally treated by either fistulotomy, or fistulectomy, which have been proven to be effective [ 5 ]. All the procedures were done by a single surgeon, eliminating the bias which could have occurred with multiple surgeons.

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Description: Wikimedia Commons has media related to Anal fistula. Although this seems to be a subjective decision, but it is pragmatic and cost effective in low-income country like ours. The wad of gauze is retained in place by an undergarment. The seton should be durable, cheap 0. We have conducted this prospective study on a larger sample size to determine the incontinence and recurrence rate of cable-tie seton along with risk factors for recurrence at a tertiary care hospital. Anal abscess and fistula. On each visit, patients were asked about the fecal incontinence according to Wexner's score Table 3 [ 9 ]. So, there are other factors that need to be considered during the selection of the seton. Fifty-three patients By using this site, you agree to the Terms of Use and Privacy Policy. Although the cost of MRI is more than the cost of procedure itself, with this cautious technique, we can achieve the best possible results without radiological aids. Cable-tie seton does not suffer the problems of loosening as in elastic tie [ 12 ], cumbersome and imprecise tightening as faced in bunch of silk ties, or second procedure as in draining setons. But whatever the material is, recurrence and incontinence rate is mainly dependent on expertise and judgment of the surgeon [ 7 ].
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