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Outcomes of cutting Seton in treatment of high peri-anal fistula in Soba University and Ibrahim Malik hospitals, Khartoum, Sudan

Abdelhadi Abdelgader Mohammed, Aamir Abdullahi Hamza.


Abstract
Objective: To evaluate and understand the outcomes and efficacy of cutting Seton technique, widely used for high peri-anal fistulas.
Methodology: This hospital-based cross-sectional study was conducted at Soba University and Ibrahim Malik hospitals, encompassing 60 patients diagnosed with peri-anal fistulas from July to December 2022. Demographics, comorbidities, incontinence, surgical procedures, and diagnostic modalities were documented and analyzed to understand the clinical characteristics and outcomes of the cutting Seton technique.
Results: Out of 60 patients, 83.3% were males and 16.7% females, with an average age of 37.5 years. The majority had discharge history (88.3%), and 40% presented with comorbidities. Park’s classification was used to categorize fistula types, revealing predominance in intersphincteric (36%) and transsphincteric (22%) locations. Cutting Seton success rate of 82%, with discharge duration averaging eight weeks and recurrence at five weeks. No significant differences in postoperative outcomes were found relative to the material used for Seton or the timing of Seton removal.
Conclusion: The study affirms the efficacy of the cutting Seton method in managing high peri-anal fistulas with a high success rate and manageable recurrence. The findings necessitate tailored patient selection and underscore the importance of comorbidities and clinical characteristics in determining treatment outcomes.

Key words: Peri-anal fistula, cutting Seton, clinical outcomes, comorbidities, surgical treatment, high peri-anal fistula.


 
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How to Cite this Article
Pubmed Style

Mohammed AA, Hamza AA. Outcomes of cutting Seton in treatment of high peri-anal fistula in Soba University and Ibrahim Malik hospitals, Khartoum, Sudan. RMJ. 2024; 49(3): 561-564. doi:10.5455/rmj.20240416055654

Web Style

Mohammed AA, Hamza AA. Outcomes of cutting Seton in treatment of high peri-anal fistula in Soba University and Ibrahim Malik hospitals, Khartoum, Sudan. https://www.rmj.org.pk/?mno=197918 [Access: September 12, 2024]. doi:10.5455/rmj.20240416055654

AMA (American Medical Association) Style

Mohammed AA, Hamza AA. Outcomes of cutting Seton in treatment of high peri-anal fistula in Soba University and Ibrahim Malik hospitals, Khartoum, Sudan. RMJ. 2024; 49(3): 561-564. doi:10.5455/rmj.20240416055654


Vancouver/ICMJE Style

Mohammed AA, Hamza AA. Outcomes of cutting Seton in treatment of high peri-anal fistula in Soba University and Ibrahim Malik hospitals, Khartoum, Sudan. RMJ. (2024), [cited September 12, 2024]; 49(3): 561-564. doi:10.5455/rmj.20240416055654


Harvard Style

Mohammed, A. A. & Hamza, . A. A. (2024) Outcomes of cutting Seton in treatment of high peri-anal fistula in Soba University and Ibrahim Malik hospitals, Khartoum, Sudan. RMJ, 49 (3), 561-564. doi:10.5455/rmj.20240416055654


Turabian Style

Mohammed, Abdelhadi Abdelgader, and Aamir Abdullahi Hamza. 2024. Outcomes of cutting Seton in treatment of high peri-anal fistula in Soba University and Ibrahim Malik hospitals, Khartoum, Sudan. Rawal Medical Journal, 49 (3), 561-564. doi:10.5455/rmj.20240416055654


Chicago Style

Mohammed, Abdelhadi Abdelgader, and Aamir Abdullahi Hamza. "Outcomes of cutting Seton in treatment of high peri-anal fistula in Soba University and Ibrahim Malik hospitals, Khartoum, Sudan." Rawal Medical Journal 49 (2024), 561-564. doi:10.5455/rmj.20240416055654


MLA (The Modern Language Association) Style

Mohammed, Abdelhadi Abdelgader, and Aamir Abdullahi Hamza. "Outcomes of cutting Seton in treatment of high peri-anal fistula in Soba University and Ibrahim Malik hospitals, Khartoum, Sudan." Rawal Medical Journal 49.3 (2024), 561-564. Print. doi:10.5455/rmj.20240416055654


APA (American Psychological Association) Style

Mohammed, A. A. & Hamza, . A. A. (2024) Outcomes of cutting Seton in treatment of high peri-anal fistula in Soba University and Ibrahim Malik hospitals, Khartoum, Sudan. Rawal Medical Journal, 49 (3), 561-564. doi:10.5455/rmj.20240416055654


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