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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Anal Fistula. How Often Does Doctor Have To Tighten Setons?

Hi, I have two anal fistula, as a result of assess, now the surgeon put two setons under general anaesthetic, for just over three weeks, but no one has tighten the setons yet, could you please let me know that how often these setons have to tighten by the surgeon? how long it takes to be hell? what's is the next step to complete the procedure?
Thank you for your help.
My kind regards
Tue, 11 Jun 2013
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General & Family Physician,  's  Response
Hello,
Simple fistula in Ano can be removed by fistulectomy - This operation is done to get rid of the fistula, prevent recurrence, and preserve sphincter function.
For a Complex Fistula in Ano, Setons are used. Various materials are used as setons. Cable-Tie setons are commonly used. Because of setons inflammatory reactions are produced in turn leads to fibrosis of the fistula tract
After setons patients are reviewed after 72 hrs and followed by once in 15 days for tightening if necessary. Usually the patients are reviewed for 1 yr. Once healed the cable tie will be cut and removed. On an average it takes 3 to 4 months to heal, but followed for 1 year for any fecal incontinence.
Best wishes
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Have Anal Fistula. How Often Does Doctor Have To Tighten Setons?

Hello, Simple fistula in Ano can be removed by fistulectomy - This operation is done to get rid of the fistula, prevent recurrence, and preserve sphincter function. For a Complex Fistula in Ano, Setons are used. Various materials are used as setons. Cable-Tie setons are commonly used. Because of setons inflammatory reactions are produced in turn leads to fibrosis of the fistula tract After setons patients are reviewed after 72 hrs and followed by once in 15 days for tightening if necessary. Usually the patients are reviewed for 1 yr. Once healed the cable tie will be cut and removed. On an average it takes 3 to 4 months to heal, but followed for 1 year for any fecal incontinence. Best wishes