Cutting seton versus decompression and drainage seton in the treatment of high complex anal fistula: a randomized controlled trial

This study aimed to compare the efficacy between decompression and drainage seton (DADS) and cutting seton (CS) in the treatment of high complex anal fistula. Patients were randomly assigned 1:1 to DADS or CS group. The primary outcome was the rate of wound healing. Second outcomes included time tak...

Full description

Saved in:
Bibliographic Details
Published in:Scientific reports 2022-05, Vol.12 (1), p.7838-7838, Article 7838
Main Authors: Yu, Qiuxiang, Zhi, Congcong, Jia, Lansi, Li, Hui
Format: Article
Language:English
Subjects:
692/308
692/308/2779/777
692/699/1503/1298
Adult
Anal Canal - surgery
Decompression
Drainage
Fecal incontinence
Fistula
Fistulae
Humanities and Social Sciences
Humans
multidisciplinary
Pain
Pain, Postoperative - etiology
Patients
Rectal Fistula - surgery
Science
Science (multidisciplinary)
Sphincter
Treatment Outcome
Wound drainage
Wound healing
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:This study aimed to compare the efficacy between decompression and drainage seton (DADS) and cutting seton (CS) in the treatment of high complex anal fistula. Patients were randomly assigned 1:1 to DADS or CS group. The primary outcome was the rate of wound healing. Second outcomes included time taken to return to work, postoperative pain, the severity of fecal incontinence and other complications. A total of 120 patients with a mean age of 39 years were included. There was no significant difference in the rate of complete wound healing at 1 year. The mean time taken to return to work was 5 ± 2 days in DADS group, shorter than CS group (10 ± 3, p  
ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-022-11712-9