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Review
. 2024 Mar;95(3):221-228.
doi: 10.1007/s00104-023-02011-8. Epub 2023 Dec 28.

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

[Article in German]
Daniel Sterzing  1
Affiliations
Review

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

[Article in German]
Daniel Sterzing. Chirurgie (Heidelb). 2024 Mar.

Abstract
in English, German

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.

Zusammenfassung: HINTERGRUND: In der täglichen Praxis eines großen proktologischen Zentrums fallen immer wieder schlecht oder falsch gelegte Fadendrainagen bei Analfisteln auf. Dies zeigt, dass in der nicht auf Proktologie spezialisierten Allgemein- und Viszeralchirurgie Missverständnisse und Wissenslücken zu diesem Thema bestehen.

Material und methoden: Reichhaltiges Bildmaterial aus der eigenen Praxis veranschaulicht fehlerhafte Drainagen und erläutert das korrekte Vorgehen.

Ergebnisse: Die Versorgung von Analfisteln hat noch deutlichen Verbesserungsbedarf. Diese Übersicht leistet hierzu einen Beitrag.

Schlussfolgerungen: Schulungen diesbezüglich sind notwendig, falls keine proktologische Expertise vor Ort besteht.

Keywords: Anal fistula; Anal fistula surgery; Goodsallʼs rule; Seton drainage; Vessel loop.

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References

Literatur

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