title: Partial fistulotomy and modified cutting seton procedure in the treatment of high extrasphincteric perianal fistulae.
abstract: OBJECTIVE
  In our prospective study the method of partial distal fistulotomy and modified cutting seton for high extrasphincteric perianal fistulae is discussed.
  
  
  METHODS
  10 patients (9 males and 1 female) with high extrasphincteric perianal fistulae were treated with partial distal fistulotomy and modified cutting seton. Four or five threads were introduced through the tract; one was tied tightly at the end of the operation, others were tightened every 10th day. While the tied thread cut the tissue, the others drained the tract. The follow-up period ranged from 3 months to 9 years.
  
  
  RESULTS
  None of the patients developed major fecal incontinence. 2 of the 10 patients complained of incontinence due to flatus.
  
  
  CONCLUSIONS
  Distal fistulotomy and modified cutting seton can be used in perianal fistulae with high anal or rectal opening, because it combines the effects of both cutting and loose setons and because the postoperative results regarding continence are satisfactory.
authors.affiliation: Department of General Surgery, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
authors.forename: Vedat
authors.initials: V
authors.lastname: Durgun
authors.forename: Asiye
authors.initials: A
authors.lastname: Perek
authors.forename: Metin
authors.initials: M
authors.lastname: Kapan
authors.forename: Selin
authors.initials: S
authors.lastname: Kapan
authors.forename: Sadi
authors.initials: S
authors.lastname: Perek
mesh_terms: D000328:Adult; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012003:Rectal Fistula / Q000601:surgery*; D012008:Recurrence; D012307:Risk Factors; D016896:Treatment Outcome