TY - JOUR
T1 - O seton para alça vascular com laçada em forma de nó de gravata podesimplificar o tratamento da fístula perianal
AU - Issa, Nidal
AU - Weil, Ruben
AU - Powsner, Eldad
AU - Khoury, Wisam
N1 - Publisher Copyright:
© 2016 Sociedade Brasileira de Coloproctologia.
PY - 2017
Y1 - 2017
N2 - Seton for treatment of perianal fistula can be of the cutting or a loose type. We adopted a simple technique for tighten the seton by applying a necktie shape tie on the vascular loop, hence it can be used for drainage on the beginning, and for cutting purpose later on. In this retrospective study we report our experience on this seton tie method. Material and methods: Patients operated for perianal fistula between 2012 and 2014 were reviewed. Results: Of 63 patients operated, 23 (35%) had a necktie-tie seton. There were 15 (65%) men. Age 34.1 ± 10.6. Six (26%) had a recurrent fistula, 2 (9%) with loose seton in place. The external opening: anterior four (17%), lateral fifteen (65%), posterior three (13%), one patient (4%) had two opening. The internal opening was identified: posterior seventeen (74%), anterior four(17%) and right posterior two (8%). Nineteen (82%) had a trans-sphenteric tract, four (17%)females had an anterior location. Operative time was 32 min (range 22–55). The seton was tightened 4 times (range 2–5) with 2 weeks interval. Healing was achieved in 7 weeks (range5–11). In 24 months (range 12–35) follow-up, no reported anal incontinence. Recurrence was observed in one patient (4%).Conclusion: The necktie tightening of the vascular loop seton is a simple, safe, easily per-formed and may simplify the seton management of perianal fistulae.
AB - Seton for treatment of perianal fistula can be of the cutting or a loose type. We adopted a simple technique for tighten the seton by applying a necktie shape tie on the vascular loop, hence it can be used for drainage on the beginning, and for cutting purpose later on. In this retrospective study we report our experience on this seton tie method. Material and methods: Patients operated for perianal fistula between 2012 and 2014 were reviewed. Results: Of 63 patients operated, 23 (35%) had a necktie-tie seton. There were 15 (65%) men. Age 34.1 ± 10.6. Six (26%) had a recurrent fistula, 2 (9%) with loose seton in place. The external opening: anterior four (17%), lateral fifteen (65%), posterior three (13%), one patient (4%) had two opening. The internal opening was identified: posterior seventeen (74%), anterior four(17%) and right posterior two (8%). Nineteen (82%) had a trans-sphenteric tract, four (17%)females had an anterior location. Operative time was 32 min (range 22–55). The seton was tightened 4 times (range 2–5) with 2 weeks interval. Healing was achieved in 7 weeks (range5–11). In 24 months (range 12–35) follow-up, no reported anal incontinence. Recurrence was observed in one patient (4%).Conclusion: The necktie tightening of the vascular loop seton is a simple, safe, easily per-formed and may simplify the seton management of perianal fistulae.
KW - Necktie
KW - Perianal fistula
KW - Seton
KW - Vascular loop
UR - http://www.scopus.com/inward/record.url?scp=85019613838&partnerID=8YFLogxK
U2 - 10.1016/j.jcol.2016.09.001
DO - 10.1016/j.jcol.2016.09.001
M3 - ???researchoutput.researchoutputtypes.contributiontojournal.article???
AN - SCOPUS:85019613838
SN - 2237-9363
VL - 37
SP - 80
EP - 85
JO - Journal of Coloproctology
JF - Journal of Coloproctology
IS - 1
ER -