Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/37551
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dc.contributor.authorErol, T.-
dc.contributor.authorMentes, B.-
dc.contributor.authorBayri, H.-
dc.contributor.authorOsmanov, I.-
dc.contributor.authorLeventoglu, S.-
dc.contributor.authorYildiz, A.-
dc.contributor.authorYorubulut, M.-
dc.date.accessioned2021-02-02T09:26:57Z
dc.date.available2021-02-02T09:26:57Z
dc.date.issued2020-
dc.identifier.issn1937-8688-
dc.identifier.urihttps://hdl.handle.net/11499/37551-
dc.identifier.urihttps://doi.org/10.11604/pamj.2020.35.18.21029-
dc.description.abstractIntroduction: 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.en_US
dc.language.isoenen_US
dc.publisherAfrican Field Epidemiology Networken_US
dc.relation.ispartofPan African Medical Journalen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAnorectal abscessen_US
dc.subjectFistula-in-anoen_US
dc.subjectSetonen_US
dc.subjectabscessen_US
dc.subjectadulten_US
dc.subjectanorectal abscessen_US
dc.subjectanorectal diseaseen_US
dc.subjectanus sphincteren_US
dc.subjectanus sphincter disorderen_US
dc.subjectArticleen_US
dc.subjectclinical outcomeen_US
dc.subjectcontrolled studyen_US
dc.subjectdisease associationen_US
dc.subjectfeces incontinenceen_US
dc.subjectfemaleen_US
dc.subjectfistulaen_US
dc.subjectfistulotomyen_US
dc.subjectfollow upen_US
dc.subjecthumanen_US
dc.subjectmajor clinical studyen_US
dc.subjectmaleen_US
dc.subjectmucosaen_US
dc.subjectpilot studyen_US
dc.subjectpostoperative complicationen_US
dc.subjectpostoperative perioden_US
dc.subjectpreoperative perioden_US
dc.subjectrecurrent diseaseen_US
dc.subjectsubcutaneous tissueen_US
dc.subjectsurgical drainageen_US
dc.subjectsurgical techniqueen_US
dc.subjectabdominal surgeryen_US
dc.subjectadverse eventen_US
dc.subjectanus diseaseen_US
dc.subjectclinical trialen_US
dc.subjectcomplicationen_US
dc.subjectdevicesen_US
dc.subjectmiddle ageden_US
dc.subjectpathologyen_US
dc.subjectproceduresen_US
dc.subjectrectum diseaseen_US
dc.subjectrectum fistulaen_US
dc.subjectsecondary preventionen_US
dc.subjecttreatment outcomeen_US
dc.subjectAbscessen_US
dc.subjectAdulten_US
dc.subjectAnus Diseasesen_US
dc.subjectDigestive System Surgical Proceduresen_US
dc.subjectDrainageen_US
dc.subjectFemaleen_US
dc.subjectHumansen_US
dc.subjectMaleen_US
dc.subjectMiddle Ageden_US
dc.subjectPilot Projectsen_US
dc.subjectPostoperative Complicationsen_US
dc.subjectRectal Diseasesen_US
dc.subjectRectal Fistulaen_US
dc.subjectRecurrenceen_US
dc.subjectSecondary Preventionen_US
dc.subjectTreatment Outcomeen_US
dc.titlePreventing the recurrence of acute anorectal abscesses utilizing a loose seton: A pilot studyen_US
dc.typeArticleen_US
dc.identifier.volume35en_US
dc.authorid0000-0001-9172-0545-
dc.identifier.doi10.11604/pamj.2020.35.18.21029-
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.pmid32341739en_US
dc.identifier.scopus2-s2.0-85080997266en_US
dc.identifier.wosWOS:000517998800001en_US
dc.identifier.scopusqualityQ3-
dc.ownerPamukkale University-
item.languageiso639-1en-
item.fulltextWith Fulltext-
item.grantfulltextopen-
item.openairetypeArticle-
item.cerifentitytypePublications-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection
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