A THREE MONTHS WOUND RECOVERY IN HIGH FISTULA-IN-ANO CASES MANAGED THROUGH CUTTING SETON (SILASTIC TUBE, LINEN, SILK, RUBBER BAND, BRAIDED SILK, VASCULAR LOOP, BRAIDED POLYESTER, NYLON, POLYPROPYLENE AND CABLE TIE)

Background: High fistula-in-ano management has become a challenge for the field of surgery. Such cases cannot be managed through fistulotomy because of the involvement of the subsequent fecal incontinence and sphincter damage risk. Our research was aimed at the fecal incontinence rate determination along with recurrence in the high fistula-in-ano patients who were managed through polypropylene (prolene-1) used as a cutting seton.

Material & Methods: Our research was descriptive cross-sectional in nature and comprised of thirty high fistula-in-ano patients who were managed with cutting seton at Mayo, Hospital, Lahore in the timeframe of March, 2016 to September, 2017. Six monthly follow up was maintained in the patients for the documentation of the recurrence of fistula, wound healing duration and anal incontinence.

Results: Research sample constituted on thirty patients in the age limit of (20 – 66) years with a mean age of (40 years). A cent percent healing of the wound was noticed in the time duration of three months, we also noticed a recurrence of the fistula in 1 case (3.3%) at the interval of five moths, no case was observed with the incontinence development.

Conclusion: High fistula-in-ano management and treatment through cutting seton is linked with very low rate of complications. We recommend it as gold standard management of the high fistula-in-ano patients for a cent percent wound recovery and non-development of incontinence.

Key Words: Fistula; Fistula-in-ano; Recurrence; Incontinence and Polypropylene.