Comparison between Rubber Band and Ethelon Suture as A Cutting Seton in Perianal Fistula
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 71, Issue 4
Abstract
<span>Background: </span><span>fistula-in-ano is a commonly encountered surgical problem. There is a risk of sphincter muscle damage during </span><span>fi</span><span>stulectomy. Seton suture is used to decrease this risk. Different types of Setons are used for this purpose.<br /> </span><span>Aim: </span><span>to compare 2 types of cutting Seton as regard Postoperative pain, duration until Seton cut through, post operative faecal incontinence and recurrence. </span> <span>Methods: </span><span>this study was conducted on 80 patients in 2 groups with high perianal fistula or low perianal fistula associate with abscess cavity. Patients with inflammatory bowel disease, history of malignancy, and previous recto- anal operations were excluded from this study. One group with insertion of sterilized rubber band and silk suture was applied at the anal verge the other with Ethilon sutures. Follow up and tightening of the seton done as outpatient. </span> <span>Results: </span><span>about half (46.25%) had low perianal fistulas with abscess cavity, and 53.75% had high perianal fistulas. Group (A) patients had 10% wound infection and group (B) had 5%, all responded to conservative management. The mean VAS score of the patients on the 1st day was (3.7±1.14), and (2.85±0.92) and on the 7th day was (1.28±0.85) and (0.88±0.88) respectively. Seton fell down after a mean time (26.35 days ± 5.12 days) in group (A) and (27.65 days ± 6.84 days) in group (B). Complete healing was achieved in 77.5% of group (A) and in 60 % of group (B) after 1 month and 40 patients (100%) in both groups at 3 months. 7.5% of recurrence in group (A) and 2.5% case of recurrence in group (B). </span> <span>Conclusion: </span><span>rubber band Seton is easy and cheap and provide slow and steady cutting of the sphincter maintaining continence. </span>
Authors and Affiliations
Eman Helal
Keywords
Related Articles
- EP ID EP583916
- DOI -
- Views 88
- Downloads 0
Knowledge and Awareness of Diabetic Foot Complications in Diabetic Patients
<strong>Background: </strong>diabetic foot problems are common throughout the world, resulting in major economic consequences for the patients, their families, and society. Foot ulcers are more likely to be of neuropathi...
Effect of Egyptian Red Cabbage on Some Physiological Parameters in Hyperthyroidimic Rats
Background: this study aimed to illustrate the protective effect of red cabbage extract against hyperthyroidism induced by L-thyroxin in male albino rats. Materials and methods: Eighteen animals were divided randomly int...
Value of Midkine as a Diagnostic Serum Marker in Hepatocellular Carcinoma
<span>Background: </span><span>hepatocellular carcinoma (HCC) represents a global health problem. It is the fifth most common cancer but the second leading cause of cancer-related death in men worldwide. In Middle Easter...
The Identification of Recurrent Laryngeal Nerve by Injection of Blue Dye into the Inferior Thyroid Artery
Background: Thyroidectomy creates a potential risk for injury of the recurrent laryngeal nerve (RLN). The identification and dissection of the RLN is the gold standard for preserving its function. Aim of the work: was to...
Percutaneous Fixation of Split Fracture Tibial Plateau
Background: tibial plateau fractures represented only 1% of all fractures. If not appropriately treated, the consequences may be severe and have a great social impact. The management of the fracture depends on several fa...