ArticleAnnals of Saudi medicine
Evaluation of the cutting seton as a method of treatment for perianal fistula.
Article in Annals of Saudi medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Cutting seton for the treatment of cryptoglandular fistula-in-ano: a systematic review and meta-analysis.Techniques in coloproctology · 2023Pooled it
- Surgical management of complex perianal fistula revisited in a systematic review: a critical view of available scientific evidence.BMC surgery · 2023Pooled it
- Cutting seton versus decompression and drainage seton in the treatment of high complex anal fistula: a randomized controlled trial.Scientific reports · 2022Trial
- Pathophysiological mechanisms and clinical management of type 2 diabetes mellitus complicated with anal fistula.Frontiers in surgery · 2026Review
- Outcomes of Draining Seton Insertion Followed by Ligation of the Intersphincteric Fistula Tract Versus Cutting Seton Insertion for Anal Fistula: A 5-Year Retrospective Cohort Study.Middle East journal of digestive diseases · 2025Article
- Perianal Fistula; from Etiology to Treatment - A Review.Middle East journal of digestive diseases · 2024Review
- The Value of Cutting Seton for High Transsphincteric Anal Fistula in the Era of Its Misery.The Malaysian journal of medical sciences : MJMS · 2022Article
- Review
- Advances in the Treatment of Anal Fistula: A Mini-Review of Recent Five-Year Clinical Studies.Frontiers in surgery · 2020Review
- Video-assisted anal fistula treatment: a high volume unit initial experience.Annals of the Royal College of Surgeons of England · 2018Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPerianal fistulas are distressing for the patient and sometimes a challenge for the surgeon. Different methods for the treatment of perianal fistulas have a range of success rates and use of the cutting seton is still debatable.
objectivesWe evaluated the recurrence, success rate and incontinence with the cutting seton method for treating perianal fistula.
designProspective, descriptive study.
settingAl-Hada Armed Forces Hospital, Department of General Surgery, Taif, Saudi Arabia. PATIENTS AND
methodsWe studied all patients with high perianal fistula admitted to the department of general surgery in our hospital with a diagnosis of perianal fistula in the period from December 2012 to December 2013 (12 months). Patients were followed for postoperative recurrence and incontinence rate. MAIN OUTCOME MEASURE(S): The primary outcome measured was either complete cure or recurrence.
resultsFifty-one patients underwent cutting seton insertion for fistula in ano. The recurrence rate was 9.8%. The postoperative rate of incontinence was 15.7% to flatus and 5.9% to fluid stools. There was no incontinence to solid stools.
conclusionThe cutting seton is a valid option for a complex fistula in ano, but in female patients and those with previous peri-anal surgery, other surgical options are advised. LIMITATIONS: Patients with low perianal fistula, Crohn's disease, acute perianal abscess and patients with major incontinence were excluded.
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