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Musin A.I.

Pirogov Russian National Research Medical University of Healthcare Ministry of the Russian Federation, Chair of Hospital-Based Surgery No. 1 of the Faculty of Medicine, Moscow, Russia

Kostarev I.V.

Gosudarstvennyĭ nauchnyĭ tsentr koloproktologii Minzdrava RF, Moskva

Seton drainage in sphincter-sparing treatment of rectal fistulas

Authors:

Musin A.I., Kostarev I.V.

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Journal: Pirogov Russian Journal of Surgery. 2018;(8): 65‑72

DOI: 10.17116/hirurgia201808265

Read: 23606 times

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Table of contents

SETON DRAINAGE IN SPHINCTER-SPARING TREATMENT OF RECTAL FISTULAS
SETON DRAINAGE IN SPHINCTER-SPARING TREATMENT OF RECTAL FISTULAS

To cite this article:

Musin AI, Kostarev IV. Seton drainage in sphincter-sparing treatment of rectal fistulas. Pirogov Russian Journal of Surgery. 2018;(8):65‑72. (In Russ.)
https://doi.org/10.17116/hirurgia201808265

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Sphincter-sparing procedures for rectal fistulas are becoming more popular among coloproctologists. However, the outcomes are not optimal that forces surgeons to seek new approaches in order to improve results. Seton drainage prior to radical stage is one of these methods. The effect of seton drainage on the outcomes is reviewed in the article. Elibrary, Pubmed and Google Scholar databases were analyzed. We have assessed 14 out of 151 trials for the period 1984 — 2017. There were no significant advantages of seton drainage compared with single-stage approach (χ2 = 3.84, p> 0.05, RR = 0.95, CI 95% 0.84 — 1.08). The same situation is observed for mucomuscular flap bringing down to close internal fistula. Fistula healing was more common after seton drainage deployment within 4 — 8 weeks. Bringing down of the flap to anal canal should be preferred after drainage due to less incidence of recurrences. Further trials are necessary to determine advisability of seton drainage and optimal surgical approach.

Keywords:

ligature method
seton drainage
seton

Authors:

Musin A.I.

Pirogov Russian National Research Medical University of Healthcare Ministry of the Russian Federation, Chair of Hospital-Based Surgery No. 1 of the Faculty of Medicine, Moscow, Russia

Kostarev I.V.

Gosudarstvennyĭ nauchnyĭ tsentr koloproktologii Minzdrava RF, Moskva

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References:

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