AIM: The treatment of @entity9292 requires a balance between eradication of the disease and preservation of faecal control. A cutting seton is an old tool that is now out of vogue for many surgeons. We hypothesized that the concept remains reliable and safe with results that exceed those reported for many of the more recently described methods. METHOD: A retrospective review was conducted of real-time electronic health records (single institution, single surgeon) of @entity1 presenting during the 14  years between 2001 and 2014 with a @entity9292 who were treated with a cutting seton. Excluded were @entity1 with @entity30 , fistulae related to @entity5 or a previous @entity254 and @entity1 whose @entity292 was treated by another method including a loose draining seton. Data collection included demographics, duration of the disease, duration of the treatment, outcome and continence. RESULTS: In all, 121 @entity1 (80 @entity1 ) of mean age 40.2      12.2  years (range 18-76) with a mean follow-up of 5.1      3.3 (1-24) months were included in the analysis. The median duration of symptoms was 6 (1-84) months; 36% had failed other @entity292 surgery, 12% had a complex @entity292 with more than one track and 35% had some form of comorbidity. The median time to healing was 3 (1-18) months; 7.4% required further surgery, but eventually 98% had complete @entity292 healing. The @entity322 rate decreased postoperatively to 11.6% from 19% before treatment with 17/121 with pre-existing @entity322 resolved and 8/107 new cases developing. CONCLUSION: Despite its retrospective non-comparative design, the study has demonstrated that a cutting seton is a safe, well tolerated and highly successful treatment for @entity9292 and is followed overall by improved continence. The results compare very favourably with other techniques.

Definitive seton management for transsphincteric XXXX -in-ano: harm or charm?

@entity1 :: ('9606', 'Species') :: ['men', 'patients'] @entity322 :: ('MESH:D014549', 'Disease') :: ['incontinence'] @entity5 :: ('MESH:D009369', 'Disease') :: ['malignancy'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity9292 :: ('MESH:D012003', 'Disease') :: ['transsphincteric anal fistula'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula'] @entity30 :: ('MESH:D003424', 'Disease') :: ["Crohn's disease"]
@entity292 :: (MESH:D005402,Disease) :: ['fistula']
