Partial fistulotomy and modified cutting seton procedure in the treatment of high extrasphincteric perianal fistulae.
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.
Durgun
Vedat
V
Department of General Surgery, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
Perek
Asiye
A
Kapan
Metin
M
Kapan
Selin
S
Perek
Sadi
S
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