Preventing the recurrence of acute anorectal abscesses utilizing a loose seton: a pilot study

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. Drainage plus fistulotomy were performed only in cases with subcutaneous mucosa, inte...

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Bibliographic Details
Published in:The Pan African medical journal 2020, Vol.35 (18), p.18-18
Main Authors: Erol, Timucin, Mentes, Bulent, Bayri, Hakan, Osmanov, Igbal, Leventoglu, Sezai, Yildiz, Alp, Yorubulut, Mehmet, Sungurtekin, Ugur
Format: Article
Language:English
Subjects:
Abscess - complications
Abscess - surgery
Abscesses
Adult
anorectal abscess
Anus Diseases - complications
Anus Diseases - pathology
Anus Diseases - surgery
Digestive System Surgical Procedures - instrumentation
Digestive System Surgical Procedures - methods
Drainage - adverse effects
Drainage - instrumentation
Drainage - methods
Female
Fistula
fistula-in-ano
Humans
Male
Middle Aged
Pilot Projects
Postoperative Complications - prevention & control
Rectal Diseases - complications
Rectal Diseases - pathology
Rectal Diseases - surgery
Rectal Fistula - complications
Rectal Fistula - pathology
Rectal Fistula - surgery
Recurrence
Secondary Prevention - instrumentation
Secondary Prevention - methods
seton
Surgery
Surgical outcomes
Treatment Outcome
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Summary: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. 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. 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
ISSN:1937-8688
1937-8688
DOI:10.11604/pamj.2020.35.18.21029