Medium- to long-term outcomes of seton placement for fistula-in-ano in children: the experience of 103 patients from a single institution
Topic overview
This retrospective study of 103 pediatric patients demonstrates that seton placement is a safe and effective treatment for anal fistula in children, with a 94% primary healing rate and median healing time of four weeks over a 23-month follow-up period. The technique successfully managed both simple and complex fistulas with minimal recurrence.
Key takeaways
- Seton placement achieved successful healing in 94% (97/103) of pediatric anal fistula cases with median 4-week healing time.
- Staged seton placement is preferred for multiple fistulas; primary placement works well for single or double fistulas.
- Recurrence rate was low (2%) with only 2 patients requiring second seton placement during 23-month median follow-up.
- Poor healing occurred in 4% of cases but resolved with conservative management (dressing changes and debridement).
- Seton technique is safe and effective for pediatric fistula-in-ano, avoiding sphincter damage risks of other surgical approaches.
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How to cite: GlobalCastMD. Medium- to long-term outcomes of seton placement for fistula-in-ano in children: the experience of 103 patients from a single institution. GlobalCastMD Medical Library. 2024-12-21. https://dev.library.globalcastmd.com/article/9559?via_space=staycurrentmd
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