Preventing the recurrence of acute anorectal abscesses utilizing a loose seton: A pilot study
Preventing the recurrence of acute anorectal abscesses utilizing a loose seton: A pilot study
Yükleniyor...
Abstract
Introduction: this pilot study aimed to document our results of treating anorectal abscesses with drainage plus loose seton for possible coexisting high fistulas or drainage plus fistulotomy for low tracts at the same operation. Methods: drainage plus fistulotomy were performed only in cases with subcutaneous mucosa, intersphincteric, or apparently low transsphincteric fistula tracts. For all other cases with high transsphincteric fistula or those with questionable sphincter involvement, a loose seton was placed through the tract. Drainage only was carried out in 17 patients. Results: twenty-three patients underwent drainage plus loose seton. Drainage plus fistulotomy were performed in four cases. None of the patients developed recurrent abscess during a follow-up of 12 months. Not surprisingly, the incontinence scores were similar pre and post-operatively (p=0.564). Only minor complications occurred in 4 cases (14.8 percent). Secondary interventions following loose seton were carried out in 13 patients (48.1 percent). At 12 months, drainage only was followed by 10 recurrences (58.8 percent; p<0.0001, compared with concomitant surgery). Conclusion: concomitant loose seton treatment of high fistula tracts associated with anorectal abscess prevents abscess recurrence without significant complications or disturbance of continence. Concomitant fistulotomy for associated low fistulas also aids in the same clinical outcome. Concomitant fistula treatment with the loose seton may suffice in treating the whole disease process in selected cases. Even in patients with high fistula tracts, the loose seton makes fistula surgery simpler with a mature tract. Abscess recurrence is high after drainage only. © Timucin Erol et al.
Description
ORCID
Keywords
Anorectal abscess, Fistula-in-ano, Seton, abscess, adult, anorectal abscess, anorectal disease, anus sphincter, anus sphincter disorder, Article, clinical outcome, controlled study, disease association, feces incontinence, female, fistula, fistulotomy, follow up, human, major clinical study, male, mucosa, pilot study, postoperative complication, postoperative period, preoperative period, recurrent disease, subcutaneous tissue, surgical drainage, surgical technique, abdominal surgery, adverse event, anus disease, clinical trial, complication, devices, middle aged, pathology, procedures, rectum disease, rectum fistula, secondary prevention, treatment outcome, Abscess, Adult, Anus Diseases, Digestive System Surgical Procedures, Drainage, Female, Humans, Male, Middle Aged, Pilot Projects, Postoperative Complications, Rectal Diseases, Rectal Fistula, Recurrence, Secondary Prevention, Treatment Outcome, fistulotomy, Male, Anorectal abscess, recurrent disease, adverse event, clinical outcome, Pilot Projects, postoperative period, Postoperative Complications, Recurrence, middle aged, Secondary Prevention, postoperative complication, surgical drainage, mucosa, Digestive System Surgical Procedures, adult, pilot study, Fistula-in-ano, R, clinical trial, seton, Middle Aged, Abscess, anus sphincter disorder, female, Treatment Outcome, Anorectal abscess; fistula-in-ano; seton, rectum disease, Medicine, Drainage, Female, subcutaneous tissue, devices, secondary prevention, Adult, rectum fistula, abscess, 610, complication, anus disease, surgical technique, fistula-in-ano, Article, male, anus sphincter, 616, Seton, fistula, follow up, Humans, Rectal Fistula, controlled study, human, procedures, preoperative period, Anus Diseases, anorectal abscess, Research, disease association, abdominal surgery, major clinical study, feces incontinence, Rectal Diseases, treatment outcome, pathology, anorectal disease
Fields of Science
0302 clinical medicine, 03 medical and health sciences
Citation
WoS Q
Scopus Q
OpenCitations Citation Count
2
Volume
35
Issue
Start Page
End Page
Collections
Yükleniyor...