Distalization of perianal fistulas after loose silicone seton drainage is a myth

ConclusionsNo statistically significant distalization of complex fistula tracts after loose silicone seton drainage was found. Some complex fistulas may downgrade to a less complex fistula after long-term seton drainage. However, loose silicone seton drainage should not be offered to patients as a treatment option to downgrade a complex fistula to a simple one or even have the hope to heal it.

Source: Techniques in Coloproctology - December 14, 2023 Category: Surgery Source Type: research