Department of Surgery, Providence Hospital and Medical Centers, Southfield, MI 48075, USA.
Dig Surg. 2012;29(4):292-300. doi: 10.1159/000342398. Epub 2012 Aug 31.
Anorectal fistulas have been a common surgical problem since ancient times. Age-old seton techniques are still practiced successfully in the treatment of complex anal fistulas. Many variations in materials and techniques are described in the literature. The selection of a seton type and technique depends on personal preferences. Our aim was to put together all the available variations in materials and techniques for seton treatment. This comprehensive review will help the surgeon to become more familiar with the various options available with regard to materials and techniques.
A review of the literature using Medline was done using the Key Words 'anal fistula' and 'seton'. All articles published in English were reviewed. The articles which had variations in materials and techniques for seton treatment were studied.
Various aspects of variations in materials, insertion techniques, maintenance of tension, mechanisms of action, drainage techniques and changing the seton have been elaborated in detail.
Throughout this paper we present the various available variations in setons with regard to materials, placement and maintenance techniques. This study will help clinicians in choosing a new seton variation or modifying their current method of treatment with setons.
肛肠瘘自古就是一个常见的外科问题。古老的挂线技术在治疗复杂的肛门瘘方面仍然成功地得到应用。文献中描述了许多不同材料和技术的变化。选择挂线类型和技术取决于个人喜好。我们的目的是将所有可用于挂线治疗的材料和技术的变化汇总在一起。这篇全面的综述将帮助外科医生更熟悉材料和技术方面的各种选择。
使用 Medline 对文献进行了回顾，使用的关键词是“肛门瘘”和“挂线”。综述了所有以英语发表的文章。研究了在挂线治疗方面有材料和技术变化的文章。
详细阐述了材料、插入技术、张力维持、作用机制、引流技术和更换挂线等方面的变化。
本文介绍了挂线在材料、放置和维持技术方面的各种现有变化。这项研究将有助于临床医生选择新的挂线变化或改进他们目前使用挂线的治疗方法。
