Ligature method for the treatment of anal fistula: a modern view on the old approach (literature review)

Author:

Musin A. I.1,Antipova E. V.2,Ulyanov A. A.3,Kuznetsov D. E.4

Affiliation:

1. Pirogov Russian National Research Medical University; Moscow City Clinical Hospital №24.

2. Moscow City Clinical Hospital №24.

3. Central Polyclinic Litfonda.

4. Tver Regional Clinical Hospital.

Abstract

Despite a thousand-year history of anal fistula treatment, long-term outcomes have not been optimal, which encourages us to explore new surgical approaches. One of the methods of surgical treatment of anal fistulas is the use of ligature (Seton) in its different modifications. This review analyzes the literature data on the use of different modifications of seton treatment of anal fistulas. The analysis of publications showed the great interest in the use of the method, yet there is neither clear scheme nor systematic approach to applying it in clinical practice. Further study, as well as randomized researches, are required to find the optimal treatment and improve surgery results of using seton when dealing with anal fistula.

Publisher

FSBEI HE I.P. Pavlov SPbSMU MOH Russia

Subject

General Medicine

Reference53 articles.

1. Nelson, R.L. Anorectal abscess fistula: what do we know? // Surg. Clin. North Am. 2002. Vol. 82, P. 1139–1151

2. Adams F. The Genuine Works of Hippocrates // New York, William Woods & Company. 1939. P. 345-350.

3. Ho K.S., Tsang C., Seow-Choen F., Ho Y.H., Tang C.L., Heah S.M., Eu K.W. Prospective randomised trial comparing ayurvedic cutting seton and fistulotomy for low fistula-in-ano // Tech. Coloproctol. 2001. Vol. 5, P. 137–141.

4. Subhas G., Singh Bhullar J., Al-Omari A., Unawane A., Mittal V.K., Pearlman R. Setons in the treatment of anal fistula: review of variations in materials and techniques // Dig. Surg. 2012. Vol. 29, № 4. P. 292-300

5. Hanley, P.H. Rubber band seton in the management of abscess-anal fistula // Ann. Surg. 1978. 187. P. 435–437

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