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Colitis (Expert Forum)
anal fistula
Answered by
Ratnakar Kini, MD - Gastroenterology, Pediatrics, acid reflux, gerd, colitis
Institute of Child Health & Hospital for Children
India
This forum is for questions and support regarding Colitis issues such as: Causes, Constipation, Diagnosis, Diarrhea, Drugs and OTC Medications, Fever, Living with Colitis, Loss of Appetite, Preventing Flare-ups, Research, Symptoms, Support, Surgery, Tests, Treatments, Types of Colitis
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anal fistula
by chubishka, Jan 14, 2008 08:23AM
My 26 year old son has developed a high complex anal fistula. At recent surgery it was found to be impossible to lay the fistula open and he has had a loose seton inserted which has been in place for a month. Is it possible to leave the loose seton in place indefinately or will other treatment need to take place?
Doctor's Answer
by Ratnakar Kini, MD, Jan 17, 2008 09:09AM
, Jan 17, 2008 09:09AM
Hi Chubishka,
The placement of seton is only a temporary measure to aid healing of the fistula.
It is generally removed later .
Discuss with your doctor about this.
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The information provided is for patients’ education only and is not a medical advice. Always consult your personal physician for complete evaluation of your health problem.
- Ratnakar Kini M.D.
The placement of seton is only a temporary measure to aid healing of the fistula.
It is generally removed later .
Discuss with your doctor about this.
=================================================
The information provided is for patients’ education only and is not a medical advice. Always consult your personal physician for complete evaluation of your health problem.
- Ratnakar Kini M.D.
Thanks
Wound healing generally occurs within 6 weeks. Proper wound care and regular bowel movements ( with high fiber diet) will expedite the process of healing.
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The information provided is for patients’ education only and is not a medical advice. Always consult your personal physician for complete evaluation of your health problem.
- Ratnakar Kini M.D.
thank you so much
the loose seton is just temporary. your son has to see a colon and rectal specialist.
A seton is a rubber band like material that is threaded through a fistula so that each end is tied loosely on the outside skin. It is a temporary measure to drain the fistula before surgery can be done.
Fistulotomy is the surgery done for fistula which consists of unroofing of the fistulous tract. But there are chances that the muscle may spring back closing the tract (roof) and forming a fistula again
In seton tightening procedure, after the seton is placed, the skin is incised over the fistulous tract and the steon tighetened gradually over several weeks so that it gradually cuts through the muscle. Since it is a slow process, scar tissue forms preventing the muscle to spring back.
To make it simple -
Seton tightening procedure = a slower process of fistulotomy with a seton.
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Hi Rahul68,
The type of surgery done for anal fistula depends on the type of fistula. Even after careful selection, none of the surgeries is 100% successful. A 10% recurrence rate is always there.
Some of the precautions to be taken-
- Keep the area washed and clean with plain tap water
- After passing stool, wash properly with a stream of water
- Drink plenty of fluids
- Take high fiber diet.
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The information provided is for patients’ education only and is not a medical advice. Always consult your personal physician for complete evaluation of your health problem.
- Ratnakar Kini M.D.
after talking to my doc i talked to him about having a fistulotomy he mentioned that he want to leave it as the last choice and he said in women is different then in man cause ther is a big chance of cutting the muscles but he didn't explain. does he mean ther is a big chance of incontinence !!!!! wich is scaring me to death.
with the seton tightning is the incontinence still present? and does the incontinence means a total uncontrol of bowel movement for the rest of my life.
your answer is very apreciated.