Document Detail


Tube loop (seton) drainage treatment of recurrent extrasphincteric perianal fistulae.
MedLine Citation:
PMID:  10204559     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Tube loop seton drainage treatment of multiply recurring high-spreading extrasphincteric perianal fistulae in 19 patients is reported in this study. The drainage loop setons make possible the rinsing of the wound following fistulectomy and also the bidirectional drainage of the wound discharge. Strangulation of the wound and an early closure of the fistula and hence the development of recurrence is prevented by means of controlled formation of scarred tissue. The sphincteral musculature of the anus is also protected from damage. Thirty-five recurring fistulae of 19 patients included in the present study were treated successfully by this method. Two fistula recurred. None of these patients developed incontinence. The use of tube loop setons was found to have advantages over the pull-out method in cases of high-spreading multiply recurring extrasphincteric or suprasphincteric perianal fistulae.
Authors:
G Balogh
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  177     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1999 Feb 
Date Detail:
Created Date:  1999-05-07     Completed Date:  1999-05-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  147-9     Citation Subset:  AIM; IM    
Affiliation:
Second Department of Surgery and Thoracic Surgery, Kaposi Mor County Hospital, Kaposvar, Hungary.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Drainage / instrumentation*
Equipment Design
Female
Humans
Male
Middle Aged
Rectal Fistula / therapy*
Recurrence

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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