Perioperative management - Seton drainage in high transsphincteric anal fistula

  1. Indications

    • Intermediate transsphincteric fistulas
    • High transsphincteric fistulas
    • Suprasphincteric fistulas
    • Acute abscess with existing fistula that initially cannot be laid open
  2. Contraindications

    • Patients who are inoperable

    Note: Chronic inflammatory bowel disease is not a contraindication for this surgical technique.

  3. Preoperative diagnostic work-up

    • The necessary diagnostic work-up depends on the underlying problem and the urgency of the acute inflammation. As a rule, no specific examination modalities are required. Possibly helpful in special cases: Anal endosonography, CT or MRI
  4. Special preparation

    • None
  5. Informed consent

    General:

    • Bleeding
    • Thrombosis
    • Embolism etc.

    Specific:

    • Persistent secretion
    • Protracted healing
    • Long healing period
    • Renewed abscess formation
    • Usually requiring further surgery
Anesthesia

Depending on the general condition of the patient:General anesthesia (General anesthesia, Laryngeal

Activate now and continue learning straight away.

Single Access

Activation of this course for 3 days.

€4.99 inclusive VAT

Most popular offer

webop - Savings Flex

Combine our learning modules flexibly and save up to 50%.

from €3.29 / module

€39.50 / yearly payment

price overview

general and visceral surgery

Unlock all courses in this module.

€9.08 / month

€109.00 / yearly payment