How long does seton take to heal?

The median healing time was nine weeks (range: four to 62 weeks). One patient developed recurrent fistula and was healed after another seton placement. No patient developed any faecal incontinence and all patients were satisfied with this treatment.

How painful is seton placement?

It is normal to have pain for up to 1-2 weeks. Thereafter, you may notice discomfort with prolonged sitting and certain activities. Pain should not be constant or worsening. Placement of Setons may stimulate mucus production so the volume of drainage you are having may increase at first.

How long does a cutting seton stay in?

The seton is tightened down and secured with a separate silk tie. With time, fibrosis occurs above the seton as it gradually cuts through the sphincter muscles and essentially exteriorizes the tract. The seton is tightened on subsequent office visits until it is pulled through over 6-8 weeks.

How does the Seton assisted fistula repair procedure work?

What to Expect: Fistula Repair Procedures. Seton-Assisted fistula repair: This procedure works by wrapping cotton or silk thread (fistulotomy seton) around the opening of your fistula and tightening it over time to create scar tissue. This scar tissue eventually seals off your fistula.

What should I do if I have a fistula repair?

remove the seton and hope that it heals. leave the seton in place awhile longer or indefinitely with or without periodic tightening; remove the seton and lay open the tract cutting the muscle; remove the seton and remove the fistula tract with or without a flap repair; or. remove the seton and use glue or a plug to seal the tract.

What do you need to know about Seton placement?

An abscess is an infected pocket of fluid, which causes significant pain. Surgeons place a etons (a thin rubber drain that goes through the tunnel) to keep the fistula tract open, which then prevents abscess formation. Usually a second surgical procedure is required to close the fistula, after the seton procedure.

What kind of thread is used to drain the fistula?

A seton is a thread placed through the fistula tract to drain fistula material and preventing the development of a perianal infection. Draining setons can control sepsis, but few patients heal after removal of the seton, and the procedure is poorly tolerated long-term.