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- Title
Comparative Study between Primary Fistula Repair vs. Seton Placement.
- Authors
Gedam, Jayashree Ramesh; Rathod, Chetan
- Abstract
BACKGROUND This study was conducted to compare the outcomes of conventional fistula repair surgery with seton placement on the basis of pain, wound drainage, duration of healing, incontinence to flatus, liquid stools, semisolid stools and recurrence. METHODS This was a hospital-based single-center prospective and retrospective study conducted among 50 patients in the age group of 18 to 60 years., presenting with clinical evidence of fistula, in the Department of Surgery, Lokmanya Tilak Municipal Medical College Sion Hospital Mumbai, over a period of 2 years, from December 31, 2020, to June 1, 2022, after obtaining clearance from the institutional ethics committee and written informed consent from the study participants. RESULTS On day 28, 16% of cases of seton were healed, while in fistulectomy, it was 0%. On day 56, 56% of cases of seton were healed, while in fistulectomy, it was 36%. The pain score p-value was <0.0001, which was very significant for seton placement. Among the 25 cases of seton, none of them had incontinence to flatus, liquid stool, or semi-solid stool, while 8% of cases of fistulectomy had incontinence to liquid stool. Among the 25 cases of seton, 12% had recurrence, while in fistulectomy, 24% had recurrence. CONCLUSION It is determined that seton therapy for fistula-in-ano is straightforward, safe, and easy. Seton therapy is an outpatient technique that may be performed in primary health care or even in a small operating room. The procedure did not result in a significant perineal wound or related morbidity. While the usual hospital stay after seton ranges from one to two days, it does not necessitate hospitalization. When compared to fistulectomy, the length of hospital stay for seton therapy is substantially shorter. Therefore, the use of seton is a superior alternative since it is less expensive, results in less postoperative problems, and requires fewer "off-work" days.
- Subjects
LENGTH of stay in hospitals; KATABATIC winds; PRIMARY health care; OPERATING rooms; HEALING
- Publication
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research), 2024, Vol 15, Issue 7, p1057
- ISSN
0975-3583
- Publication type
Article