Comparison of clinical effectiveness of diverting seton and cutting seton for supra-sphincteric fistula
[Objectives] To compare the clinical effectiveness of diverting seton and cutting seton for supra-sphincteric fistula. [Methods] A retrospective study was performed on 40 patients with supra-sphincteric fistula treated at the Department of Anorectal Surgery, Anxi County Hospital, between June 2017 a...
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| Language: | zho |
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Editorial Office of Journal of Colorectal & Anal Surgery
2023-04-01
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| Series: | 结直肠肛门外科 |
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| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=234&cateName=2023%E5%B9%B4%20%E7%AC%AC29%E5%8D%B7%20%E7%AC%AC2%E6%9C%9F |
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| author | Lin Wenhua Lü Shirong |
| author_facet | Lin Wenhua Lü Shirong |
| author_sort | Lin Wenhua |
| collection | DOAJ |
| description | [Objectives] To compare the clinical effectiveness of diverting seton and cutting seton for supra-sphincteric fistula. [Methods] A retrospective study was performed on 40 patients with supra-sphincteric fistula treated at the Department of Anorectal Surgery, Anxi County Hospital, between June 2017 and June 2022. Based on the surgical procedure, patients were divided into the observation group (receiving diverting seton, n=20) and the control group (receiving cutting seton, n=20). Clinical effectiveness (including overall treatment effectiveness and recurrence), postoperative recovery, postoperative pain level, and postoperative anal function were recorded and compared between the two groups. [Results] During the 6-24 month follow-up, there were 16 cured cases, no remarkably effective cases, 3 effective cases, and 1 recurrence in the observation group. In the control group, there were 15 cured cases, no remarkably effective cases, 3 effective cases, and 2 recurrences. Postoperative hospitalization time and time to wound healing were shorter, and pain scores according to the Visual Analogue Scale at 7 and 14 days after surgery were lower in the observation group (P<0.05). The Wexner anal incontinence score was lower in the observation group at 3 months after surgery (P<0.05), and the control function of formed stool was normal in both groups. [Conclusion] In conclusion, the clinical effectiveness of diverting seton and cutting seton for supra-sphincteric fistula were comparable. Patients who received diverting seton treatment experienced less impact on postoperative anal function and achieved satisfactory recovery. |
| format | Article |
| id | doaj-art-f1a5c50b481140d29b639d58ad67a597 |
| institution | OA Journals |
| issn | 1674-0491 |
| language | zho |
| publishDate | 2023-04-01 |
| publisher | Editorial Office of Journal of Colorectal & Anal Surgery |
| record_format | Article |
| series | 结直肠肛门外科 |
| spelling | doaj-art-f1a5c50b481140d29b639d58ad67a5972025-08-20T01:51:45ZzhoEditorial Office of Journal of Colorectal & Anal Surgery结直肠肛门外科1674-04912023-04-0129217417710.19668/j.cnki.issn1674-0491.2023.02.014Comparison of clinical effectiveness of diverting seton and cutting seton for supra-sphincteric fistulaLin Wenhua0Lü Shirong1Department of Anorectal Surgery, Anxi County Hospital, Quanzhou 362400, Fujian, ChinaDepartment of Anorectal Surgery, Anxi County Hospital, Quanzhou 362400, Fujian, China[Objectives] To compare the clinical effectiveness of diverting seton and cutting seton for supra-sphincteric fistula. [Methods] A retrospective study was performed on 40 patients with supra-sphincteric fistula treated at the Department of Anorectal Surgery, Anxi County Hospital, between June 2017 and June 2022. Based on the surgical procedure, patients were divided into the observation group (receiving diverting seton, n=20) and the control group (receiving cutting seton, n=20). Clinical effectiveness (including overall treatment effectiveness and recurrence), postoperative recovery, postoperative pain level, and postoperative anal function were recorded and compared between the two groups. [Results] During the 6-24 month follow-up, there were 16 cured cases, no remarkably effective cases, 3 effective cases, and 1 recurrence in the observation group. In the control group, there were 15 cured cases, no remarkably effective cases, 3 effective cases, and 2 recurrences. Postoperative hospitalization time and time to wound healing were shorter, and pain scores according to the Visual Analogue Scale at 7 and 14 days after surgery were lower in the observation group (P<0.05). The Wexner anal incontinence score was lower in the observation group at 3 months after surgery (P<0.05), and the control function of formed stool was normal in both groups. [Conclusion] In conclusion, the clinical effectiveness of diverting seton and cutting seton for supra-sphincteric fistula were comparable. Patients who received diverting seton treatment experienced less impact on postoperative anal function and achieved satisfactory recovery.https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=234&cateName=2023%E5%B9%B4%20%E7%AC%AC29%E5%8D%B7%20%E7%AC%AC2%E6%9C%9Fsupra-sphincteric fistuladiverting setoncutting seton |
| spellingShingle | Lin Wenhua Lü Shirong Comparison of clinical effectiveness of diverting seton and cutting seton for supra-sphincteric fistula 结直肠肛门外科 supra-sphincteric fistula diverting seton cutting seton |
| title | Comparison of clinical effectiveness of diverting seton and cutting seton for supra-sphincteric fistula |
| title_full | Comparison of clinical effectiveness of diverting seton and cutting seton for supra-sphincteric fistula |
| title_fullStr | Comparison of clinical effectiveness of diverting seton and cutting seton for supra-sphincteric fistula |
| title_full_unstemmed | Comparison of clinical effectiveness of diverting seton and cutting seton for supra-sphincteric fistula |
| title_short | Comparison of clinical effectiveness of diverting seton and cutting seton for supra-sphincteric fistula |
| title_sort | comparison of clinical effectiveness of diverting seton and cutting seton for supra sphincteric fistula |
| topic | supra-sphincteric fistula diverting seton cutting seton |
| url | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=234&cateName=2023%E5%B9%B4%20%E7%AC%AC29%E5%8D%B7%20%E7%AC%AC2%E6%9C%9F |
| work_keys_str_mv | AT linwenhua comparisonofclinicaleffectivenessofdivertingsetonandcuttingsetonforsuprasphinctericfistula AT lushirong comparisonofclinicaleffectivenessofdivertingsetonandcuttingsetonforsuprasphinctericfistula |