title: Simplified Seton management for complex anal fistulas: a novel use for the rubber band ligator.
abstract: The seton has been useful in the treatment of complex anal fistulas. Various complicated methods to enhance the advancement of the seton through the external sphincter muscles have been described. We use a common office implement, the rubber band ligator, to manage the seton in an outpatient setting.
authors.affiliation: Department of Colon and Rectal Surgery, Saint Vincent Health Center, Erie, Pennsylvania.
authors.forename: W C
authors.initials: WC
authors.lastname: Cirocco
authors.forename: L C
authors.initials: LC
authors.lastname: Rusin
mesh_terms: D006801:Humans; D008026:Ligation / Q000295:instrumentation / Q000379:methods*; D012003:Rectal Fistula / Q000601:surgery*