Anorectal Abscess and Fistula

Vasilevsky, Carol‐Ann

doi:10.1007/978-1-4419-1584-9_13

Cited by 23 publications

(22 citation statements)

References 136 publications

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“…Different materials are used as Seton: The treatment of fistula-in-ano remains challenging. The treatment option is surgery only with the goal of draining the infection, avoiding recurrence while preservation of anal sphincter function [5,6]. Seton stitch is the length of suture material looped around the fistula which keeps it open and allows pus to drain.…”

Section: Discussionmentioning

confidence: 99%

“…Treatment option for fistula-in-ano is surgery with the goal of draining the infection, removing the fistulous tract, and avoiding recurrence with preservation of anal sphincter function [5,6]. Surgery may be performed at the same time as drainage of abscess, although sometimes the fistula does not appear until weeks or years after the initial drainage.…”

Section: Introductionmentioning

confidence: 99%

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Tightening of seton using Roeder's knot in Complex Fistula - in - ano : with knot pusher (specially designed)

Kumar¹,

Hastir²

2017

Int J Surg Med

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Objective: There are two main complications after surgery of complex fistula-in-ano: faecal incontinence and recurrence. Summary Background Data: To prevent incontinence of stools and flatus we require saving the anal sphincter muscle with tightening of seton using Roeder's knot with specially designed Rajneesh's seton knot pusher. Method: The study includes 40 patients who had undergone treatment of complex and high fistula-in-ano at Civil Hospital, Jalandhar from January 2010 to September 2012 and from September 2012 to January 2017 at Punjab Institute of Medical Sciences (PIMS). Results: Forty patients of complex fistula-in-ano were taken up for study with the age (mean ± standard deviation) of 35 ± 10.6 years. The Roeder's knot was tightened with a median of 5 times (3-10 times) as OPD procedure. All the patients were on follow-up for a minimum period of 6 months, and none of the patients had any incontinence. Recurrence occurred in one case. There was breakage of thread at knot site with knot pusher in two cases. Conclusion: Tightening of seton using Roeder's knot with Rajneesh's knot pusher is safe, cost effective treatment for complex fistula-in-ano and follow-up is easy. Tightening of fistula is an outdoor procedure rather than replacing the loose seton. Patients were on the monitoring every week, and seton with Roeder's knot tightened in O.P.D after application of 2% Xylocaine jelly. Incontinence was assessed according to Wexner's score. KEYWORDS:Seton, Roeder's knot, Knot Pusher, Fistula-in-ano, Tightening HOW TO CITE THIS ARTICLEKumar R, Hastir A. Tightening of seton using Roeder's knot in Complex Fistula -in -ano : with knot pusher (specially designed).Int J Surg Med.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Tightening of seton using Roeder's knot in Complex Fistula - in - ano : with knot pusher (specially designed)

Kumar¹,

Hastir²

2017

Int J Surg Med

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“…The treatment of SLA of intersphincteric origin based on a two-stage surgery may reduce the risk of anal incontinence by avoiding excessive division of the internal anal sphincter. The timing of removal of the catheter is not clearly established and may vary from a few days to several weeks depending on the amount of drainage and clinical judgement [3,7]. In this series the use of this catheter has proven useful in collapsing the abscess.…”

Section: Advantagesmentioning

confidence: 99%

“…The absence of external clinical signs may delay diagnosis and drainage. If a correct intra-operative diagnosis is not performed and the drainage is not appropriate, recurrence, reoperations and possible spread into other anal spaces, even the preperitoneal space, will occur and will be potentially life-threatening [3].…”

Section: Introductionmentioning

confidence: 99%

The use of an endostapler in the treatment of supralevator abscess of intersphincteric origin

et al. 2014

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“…[6] Colloid carcinoma of the rectum can also manifest itself through an anal fistula. [7] According to Park [8] the Anal Fistula can be Classified into the Following Types 1. Intersphincteric -70%.…”

Section: Introductionmentioning

confidence: 99%