Details
Category: Volume 10 Issue 10 October 2022
Hits: 401

Title: A Comparative Study on Efficacy of Prolene Seton and Silk Seton in Management of Fistula in Ano in a Tertiary Care Centre

Authors: Dr VT Arasu M.S., Dr M. Japhereena M.S., Dr G Ganesh Kumar M.S., Dr M. Ganesan M.S.

 DOI: https://dx.doi.org/10.18535/jmscr/v10i10.25

Abstract

Fistula in ano is a chronic abnormal communication usually lined to some degree by granulation tissue. It extends from the anorectal lumen to the skin of the perineum. Fistula in ano is one of the common surgical problems encountered these days with a prevalence of 8.6 to 10/100,000 of the population per year and male: female ratio of 1.8:1[1]. Perianal fistulas most commonly occur following episodes of anorectal sepsis.

References

  1. Abraham Jebakumar et al “A comprehensive study of fistula in ano” International Archives of Integrated Medicine 2016, 3(8):66-72.
  2. Andreas Ommer et al “cryptoglandularr anal fistulas” Dtsch Arztebl Intenational 2011;108(42):707-713.
  3. Ramachandra M. et al “a comprehensive study in the management of fistula in ano using various modalities. International Surgery Journal 2018june 5(6): 2223-2227.
  4. Gokulakrishnan Subhas “seton in the treatment of Anal Fistulas: review of variations in materials and techniques” Disgestive Surgery 2012; 29:292-300.
  5. Textbook of Gray’s anatomy - anatomical basis of clinical practice 2120- 2125.
  6. Carol Ann Vasilensky et al, “Benign Anorectal abscess and fistula. The ASCRS textbook of colon and rectal surgeries pages 192-214.
  7. Murtaza Akhtar et al, “Fistula in Ano -an overview, JIMSA january- march 2012 volume 25 No.1
  8. John Morris et al, “MR imaging classification of perianal fistulas and its implication for patient management, Radiographics, 2000 No.3, vol. 20 pg 623- 635.
  9. Pradeep Shashjirao Sindhe et al “ Substantiating accuracy of Goodsall’s rule in fistula in ano (Bhagandar) with anatomical consideration”. Indian Journal of Health Sciences and Biomedical Research KLEU, 2018; 11:151-154.
  10. Juan L Poggio et al, “fistula in ano treatment and management : Approach consideration, Fistulotomy, seton placement. http://emedicine.emedscape.com/article/190234- treatment.
  11. Ayaz Ahmad Memon, “treatment of complex fistula in ano with cable tie seton : a prospective case series”. International Scholarly Research Network, Vol 2011 Article ID 636952 pages 5. doi10.5402/2011/636952.
  12. Resit Inceoglu “Fistulotomy and drainage of deep postanal space abscess in the treatment of posterior horseshoe fistula. BMC Surgery Article No: 10(2003)
  13. Elsebai et al “fistulectomy versus fistulotomy in the management of simple perianal fistula” Menoufia Medical Journal 2016, vol 29 issue 3, pages 564-569.
  14. Ladan Ghahramani et al., “Late results of endorectal flap in the management of high type perianal fistula”. Middle East Journal of Digestive Disease. Vol. 4 No.3 july 2012, 163-167.
  15. Gokturk Maraclan et al “Long term results in the treatment of fistula in ano with fibrin glue : a prospective study”. Journal of the Korean Surgical Society, 2011 september 81(3), 169-175.
  16. Ferdinand Kocherling et al “treatment of fistula in ano with fistula plug - a review under special consideration of technique”, Frontiers in Surgery 2015 2:55
  17. Chowdri NA et al “ligation of the intersphincteric fistula tract technique for fistula in ano”. Clinicals in Surgery 2017 2:1561
  18. Mohammad Ali Sutar et al., “Role of seton in the management of fistula in ano” International Journal of Contemporary Medical Research 2016;3(6) 1710-1713.
  19. Tyler KM. “Successful sphincter sparing surgery for all anal fistula” Journal of Disease of Colon and Rectum. 2007 october 50(10), 1535-1539.
  20. Kamrava A et al. “A decade of selective use of adjustable cutting seton combined with fistulotomy for anal fistula”. The Journal of Americal Surgeon. 2011 october 77(10); 1377-1381.
  21. BB Mentes et al “Elastic one- stage cutting seton for the treatment of high anal fistulas - priliminary results”. Tech Coloproctol (2006) 8:159-162.
  22. PJ Shouler et al “Fistula in ano is usually simple to manage surgically”. International Journal of Colorectal Disease (1986) 1:113-115.
  23. A Sygut et al “Late results of treatmebt of anal fistulas”. Journal of Colorectal Disease. Vol 9, Issue 2, February 2007 151-158.
  24. Therapol A et al, “Routine use of seton for the traetment of anal fistulas”. Singapore Medical Journal 2002 June; 43(6): 305-307.
  25. Christopher J Skilbeck et al, “Sutures , ligatures ad knots”Surgery (oxford) ISSN, 0263-9319. Vol 29, Issue 2, 63-66
  26. Ahmad Izadpanab et al, “Pulling seton: combination of mechanisms”. Advanced Biomedical Research, 2016, 5:68.
  27. Mohamed Mogahed et al, “Cutting seton as surgical management of high anal fistula”. Al-AzharAssiut Medical Journal Vol13 No.2. April 2015 10-14.
  28. Neil A et al, “Suture material- 1980 : Properties, uses and abuses”. International Society of Tropical Dermatology. Vol21 September 1982, No.7, 373-378.
  29. Thilagavathi et al, “Silk as suture material”. Advances in Silk Sciences and Technology. 2015; 219-232.
  30. Firat Selvi et al, “Effects of different suture material on tissue healing”. Journal of Istanbul University: Dent 2106; 50(1): 35-42.
  31. Fawad JAved et al, “Tissue reaction to various suture materials used in oral surgical interventions”. International Scholarly Research Network Dentistry. Vol 2012, Article Id 762095-6 pages
  32. Mohan H. Kundr et al, “Suture and Suturing techniques in skin closure”. Indian Journal of Dermatol Venereol Leprol, July- August 2009;75:425-434.

Corresponding Author

Dr VT Arasu M.S.

Professor of General Surery, Chengalpattu Medical College