Treatment of cryptoglandular fistulas with the fistula tract laser closure (FiLaC™) method in comparison with standard methods: first results of a multicenter retrospective comparative study in the Netherlands

[On fistulas and threads : Sense and nonsense of seton drainage]

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.