ArticleUpdates in surgery2013
Fistulotomy or seton in anal fistula: a decisional algorithm.
Article in Updates in surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Adipose-derived stem cell therapies for complex anal fistula: a systematic review and meta-analysis of randomized controlled trials.Frontiers in medicine · 2025Pooled it
- Mesenchymal stem cells transplantation for perianal fistulas: a systematic review and meta-analysis of clinical trials.Stem cell research & therapy · 2023Pooled it
- Systematic review and meta-analysis of surgical interventions for high cryptoglandular perianal fistula.International journal of colorectal disease · 2015Pooled it
- Article
- Restricted cubic spline model analysis of the association between anal fistula and anorectal abscess incidence and body mass index.Frontiers in surgery · 2023Article
- Long-Term Clinical Results of Use of an Anal Fistula Plug for Treatment of Low Trans-Sphincteric Anal Fistulas.Medical science monitor : international medical journal of experimental and clinical research · 2020Article
- Results of the Gore Bio-A fistula plug implantation in the treatment of anal fistula: a multicentre study.Techniques in coloproctology · 2016Observational
- Pulling Seton: Combination of mechanisms.Advanced biomedical research · 2016Article
- Rectal tone and compliance affected in patients with fecal incontinence after fistulotomy.World journal of gastroenterology · 2015Observational
- Long-term outcome of low perianal fistulas treated by fistulotomy: a multicenter study.International journal of colorectal disease · 2015Article
- Management of Fistula-in-Ano-The Current Evidence.The Indian journal of surgery · 2014Article
- Evaluation of the cutting seton as a method of treatment for perianal fistula.Annals of Saudi medicineArticle
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Fistula in ano is a common proctological disease. Several authors stated that internal and external anal sphincters preservation is in the interest of continence maintenance. The aim of the present study is to report our experience using a decisional algorithm on sphincter saving procedures that achieved us to obtain good results with low rate of complications. From 2008 to 2011, 206 patients underwent surgical treatment for anal fistula; 28 patients underwent perianal abscess drainage plus seton placement of trans-sphincteric or supra-sphincteric fistula (13.6 %), 41 patients underwent fistulotomy for submucosal or low inter-sphincteric or low trans-sphincteric anal fistula (19.9 %) and 137 patients underwent partial fistulectomy or partial fistulotomy (from cutaneous plan to external sphincter muscle plan) and cutting seton placement without internal sphincterotomy for trans-sphincteric anal fistula (66.50 %). Healing rates have been of 100 % and healing times ranged from 1 to 6 months in 97 % of patients treated by setons. Transient fecal soiling was reported by 19 patients affected by trans-sphincteric fistula (11.5 %) for 4-6 months and then disappeared or evolved in a milder form of flatus occasional incontinence. No major incontinence has been reported also after fistulotomy. Fistula recurred in five cases of trans-sphincteric fistula treated by seton placement (one with abscess) (1/28) (3.5 %) and four with trans-sphincteric fistula (4/137) (3 %). Our algorithm permitted us to reduce to 20 % sphincter cutting procedures without reporting postoperative major anal incontinence; it seems to open an interesting way in the treatment of anal fistula.
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Registered trials
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