Saif Ahmad, Rizwan Naseem, Talat Mahmoud.
Use of Seton in complicated anal fistula: A study at Sindh Govt. Qatar Hospital, Karachi.
Pak J Surg Jan ;19(1):25-9.

This study was carried out on 45 patients who were treated in the Dept. of Surgery at Sindh Govt. Qatar Hospital, Karachi for anal fistula of either the trans-sphincteric or the extra-sphincteric type by Setons. In 38 (88%) patients there were no complications after the procedure, but 7 (12%) had minor problems of the continence. In one case the fistula recurred. The mean hospital stay of the patients was two days. The follow-up consisted of 8- 12 outpatient visits. We, therefore, conclude that the use of the Seton after partial fistulectomy for complicated anal fistulae reduces the incidence of incontinence, with a very low recurrence rate.

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