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Fistula - Question over Seton precedure

The patent had a seton procedure preformed to address a suspected fistula.  However, we are not confident that the surgeon found a entry point to the bowel, but rather he followed the fistula to the immediate proximity of the bowel wall and perforated it with a probe, then preformed the seton.

The seton is comprised of four (4) surgical nylon threads and has been in place for six (6) weeks now.  There is constant drainage (normal) and the wound is being packed and attended to by nurses, on a daily basis.


Background MRI:

On today
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Avatar universal
I recently had a seton placed secondary to being diagnosed with Crohns and Ulcerative Colitis
My question is concerning the post operative pain from the seton placement  
What if any thing may be used?
Helpful - 0
233190 tn?1278549801
MEDICAL PROFESSIONAL
I'm not a surgeon, so this question is outside my scope of knowledge.  However, the perforated bowel should heal despite the procedure being performed several weeks ago.  

Our surgical colleague answered the question nicely below in the comments and I'll repost it here since comments aren't saved:
"It ought to. However, it could drain through the tract. If I were removing the seton prematurely, I'd try to pull it slowly through the external part of the tract over a period of a few days, or replace it with a small drain and then remove that slowly."

You can discuss this option with your surgeon or personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
http://www.straightfromthedoc.com
Helpful - 0
Avatar universal
Unofficial answer (I'm just a surgeon who posts here sometimes: I'm not the official person hired by the forum). It ought to. However, it could drain through the tract. If I were removing the seton prematurely, I'd try to pull it slowly through the external part of the tract over a period of a few days, or replace it with a small drain and then remove that slowly.
Helpful - 0

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