Chinese Journal of General Practitioners 2014;13(10):844-845

doi:10.3760/cma.j.issn.1671-7368.2014.10.018

Micro-traumatic surgical procedure of loose seton and cutting seton in the treatment of high anorectal fistulae of 136 cases

Chengwei YU ; Yufeng CUI ; Jingying PAN ; Xiangyu MENG ; Maowei JIANG

Keywords

Loose seton and cutting seton; Surgical procedures,minimally invasive; Rectal fistula

Country

China

Language

Chinese

Abstract

To explore the therapeutic effect of micro-traumatic surgery of loose seton and cutting seton by rubber bands in the treatment of high anorectal fistulae.Application of cutting seton (truss rubber bands) implemented the high part of fistulae and loose seton (ligation rubber band but non-fastened) for the low part of fistulae.133/136 patients undergoing micro-traumatic surgery were cured by one operation,2 cases had pseudo-healing and there was 1 recurrent case.And the curative rate was 97.8％.The microtraumatic surgery of loose seton and cutting seton by rubber bands in the treatment of high anorectal fistula has such multiple advantages as small incision,minor trauma,lesser pain,faster healing and a shorter course of treatment.And it may preserve the proper anal function and the integrity of anal skin.And its clinical efficacy is satisfactory.