Sterzing D. [On fistulas and threads : Sense and nonsense of seton drainage].
CHIRURGIE (HEIDELBERG, GERMANY) 2024;
95:221-228. [PMID:
38153425 DOI:
10.1007/s00104-023-02011-8]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/17/2023] [Indexed: 12/29/2023]
Abstract
BACKGROUND
In the daily practice of a large proctological center numerous wrong or misplaced fistula threads are encountered. This indicates that there are misconceptions and knowledge gaps in this surgical field in nonspecialized general surgeons.
MATERIAL AND METHODS
Comprehensive footage of own experiences in a proctological center shows faulty threads and correct loop placement.
RESULTS
In fistula treatment there is still a distinct need for improvement. This synopsis is an educational contribution.
CONCLUSION
In the case of a lack of experience in proctological surgery, education and training has to be provided for the decent management of anal fistulas with correct threads.
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