Use of the seton in the treatment of extrasphincteric anal fistula

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Abstract
Ten extrasphincteric fistulas were treated by the 2-stage seton procedure. The seton was left in situ for 3 mo.; follow-up varied from 6 mo.-2.5 yr. There were no recurrences. Six patients experienced slight soiling and 1 patient became incontinent. Provided that only muscle tissue is enclosed by the seton, the procedure gives good results; a diverting colostomy is not necessary.

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