دورية أكاديمية
Loss of seton in patients with complex anal fistula: a retrospective comparison of conventional knotted loose seton and knot-free seton.
| العنوان: | Loss of seton in patients with complex anal fistula: a retrospective comparison of conventional knotted loose seton and knot-free seton. |
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| المؤلفون: | Verkade C; Department of Surgery, Elisabeth-TweeSteden Hospital, Tilburg, The Netherlands., Zimmerman DDE; Department of Surgery, Elisabeth-TweeSteden Hospital, Tilburg, The Netherlands., Wasowicz DK; Department of Surgery, Elisabeth-TweeSteden Hospital, Tilburg, The Netherlands., Polle SW; Department of Surgery, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands., de Vries HS; Department of Surgery, Elisabeth-TweeSteden Hospital, Tilburg, The Netherlands. hilbert.devries@cwz.nl.; Department of Surgery, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands. hilbert.devries@cwz.nl. |
| المصدر: | Techniques in coloproctology [Tech Coloproctol] 2020 Oct; Vol. 24 (10), pp. 1043-1046. Date of Electronic Publication: 2020 Jun 19. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer-Verlag Italia Country of Publication: Italy NLM ID: 9613614 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1128-045X (Electronic) Linking ISSN: 11236337 NLM ISO Abbreviation: Tech Coloproctol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2001->: Milano, Italy : Springer-Verlag Italia Original Publication: Rome : UCP Club, |
| مواضيع طبية MeSH: | Rectal Fistula*/epidemiology , Rectal Fistula*/surgery , Suture Techniques*, Humans ; Netherlands/epidemiology ; Retrospective Studies ; Treatment Outcome |
| مستخلص: | Background: Loose setons are often utilized. Replacements after seton loss are frequent, but the exact incidence of this loss of seton (LOS) in patients is unknown. The aim of the present study was to assess the incidence of LOS in a population with complex anal fistula, comparing the knot-free loose seton with the conventional knotted loose seton. Methods: All consecutive patients treated with a loose seton for complex anal fistula in two large teaching hospitals in the Netherlands between January 2017 and December 2019 were included in the present study. The incidence of loss of a conventional knotted loose seton was compared with the loss of commercially available knot-free setons. Results: There were 212 patients. Fifty-two patients were included in the knotted loose group and 160 patients were included in the knot-free seton group. Sixteen patients who were treated with both a knotted and a knot-free loose seton were included in both groups. The incidence of LOS was 12% in the knotted seton group and 28% in the knot-free loose seton group (p = 0.02). Median time to LOS was 36 days for the knotted loose seton and 89 days for the knot-free loose seton (p = 0.36). Sex (p = 0.61), age at the time of seton placement (p = 0.60), and presence of inflammatory bowel disease (p = 0.28) were not significantly associated with LOS. Conclusions: LOS occurs frequently in patients treated for complex anal fistulas. The incidence of LOS is significantly higher in patients treated with a knot-free loose seton. Further developments in seton manufacturing should be focussed on optimisation of the closure mechanism. |
| التعليقات: | Comment in: Tech Coloproctol. 2022 Oct;26(10):843-844. (PMID: 35726037) Comment in: Tech Coloproctol. 2022 Oct;26(10):845-846. (PMID: 36006572) |
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| فهرسة مساهمة: | Keywords: Complex perianal fistulas; Knot-free seton; Loose seton; Rectal fistula |
| تواريخ الأحداث: | Date Created: 20200621 Date Completed: 20210427 Latest Revision: 20221103 |
| رمز التحديث: | 20240829 |
| DOI: | 10.1007/s10151-020-02254-1 |
| PMID: | 32562152 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1128-045X |
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| DOI: | 10.1007/s10151-020-02254-1 |