A Study of Results of Seton Therapy as a Treatment for Complex Anal Fistulas: A Case Series

The challenge of surgery for anal fistula is to eradicate the fistula track while maintaining anal continence. Aim of this study was to analyze the influence of seton technique for high anal fistulas, on results of recurrence and postoperative faecal incontinence and need of permanent stomy. A total of 13 patients of complex anal fistula were operated by seton technique over a period of two and half years, with a follow-up of 6months. Of the 13 patients, 3 developed recurrence (22 %), with no reported case incontinence to stool or flatus on repeated follow-ups, thus achieving a healing rate of 78 %.