Objective: To evaluate and understand the outcomes and efficacy of cutting Seton technique, widely used for high peri-anal fistulas.
Methodology: This hospital-based cross-sectional study was conducted at Soba University and Ibrahim Malik hospitals, encompassing 60 patients diagnosed with peri-anal fistulas from July to December 2022. Demographics, comorbidities, incontinence, surgical procedures, and diagnostic modalities were documented and analyzed to understand the clinical characteristics and outcomes of the cutting Seton technique.
Results: Out of 60 patients, 83.3% were males and 16.7% females, with an average age of 37.5 years. The majority had discharge history (88.3%), and 40% presented with comorbidities. Park’s classification was used to categorize fistula types, revealing predominance in intersphincteric (36%) and transsphincteric (22%) locations. Cutting Seton success rate of 82%, with discharge duration averaging eight weeks and recurrence at five weeks. No significant differences in postoperative outcomes were found relative to the material used for Seton or the timing of Seton removal.
Conclusion: The study affirms the efficacy of the cutting Seton method in managing high peri-anal fistulas with a high success rate and manageable recurrence. The findings necessitate tailored patient selection and underscore the importance of comorbidities and clinical characteristics in determining treatment outcomes.
Key words: Peri-anal fistula, cutting Seton, clinical outcomes, comorbidities, surgical treatment, high peri-anal fistula.
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