On fistulas and threads : Sense and nonsense of seton drainage

Abstract

In the daily practice of alarge 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. Comprehensive footage of own experiences in aproctological center shows faulty threads and correct loop placement. In fistula treatment there is still a distinct need for improvement. This synopsis is an educational contribution. In the case of alack of experience in proctological surgery, education and training has to be provided for the decent management of anal fistulas with correct threads.