Gurer Ahmet, Ozlem Nuraydin, Gokakin Ali Kagan, Ozdogan Mehmet, Kulacoglu Hakan, Aydin Raci
Department of General Surgery, Ataturk Training and Research Hospital, Bilkent, Baskent sitesi A1 Blok No: 5, Cankaya 06550, Ankara, Turkey.
Am J Surg. 2007 Jun;193(6):794-6. doi: 10.1016/j.amjsurg.2006.06.048.
Fistula-in-ano is a common surgical problem. Various materials have been used to perform the seton technique in the treatment of fistula-in-ano. In this study, a novel material, a self-locking cable tie, was used regardless of the fistula type. Seventeen consecutive patients with anal fistula underwent surgery with the cutting seton technique using the novel material. Nine patients had high fistulas. The average tightening was 3.18, the mean fall-out time was 17.41 days, and the mean follow-up period was 8.2 months. No recurrences or incontinence were recorded. There are statistically significant differences between superficial and high fistula cases regarding the number of setons tightening, seton fall-out time, and complete healing time. The novel material presented here has some advantages: it is cheap, easily available, and easily applied, moreover, a gradual tightening can be performed. We think this novel material is a good choice in the treatment of fistula-in-ano.
肛瘘是一种常见的外科问题。在肛瘘治疗中，已使用各种材料来实施挂线技术。在本研究中，无论肛瘘类型如何，均使用了一种新型材料——自锁束线带。17例连续性肛瘘患者采用新型材料行切开挂线术。9例患者为高位肛瘘。平均收紧次数为3.18次，平均掉线时间为17.41天，平均随访期为8.2个月。未记录到复发或失禁情况。浅表性肛瘘和高位肛瘘病例在挂线收紧次数、掉线时间和完全愈合时间方面存在统计学显著差异。此处介绍的新型材料具有一些优点：价格便宜、易于获取且易于应用，此外还可进行逐步收紧。我们认为这种新型材料是肛瘘治疗的一个不错选择。
