What is Seton Placement Surgery for Anal Fistula?

Apr 09, 2022 Source: Cainiu Health
Disease description:

Recently, I was diagnosed with an anal fistula. I’ve been reluctant to undergo surgery, but my condition has recently worsened, and my doctor has recommended a seton placement procedure for the anal fistula. Could you please explain what a seton placement procedure for anal fistula entails?

Doctor's answer (1)
Dr. Cheng Yicheng
Seton placement for anal fistula is a surgical procedure in which a rubber band or medicated thread is passed through the entire fistulous tract, then tightened at both ends to compress the tract. Finally, the thread is tied and secured to prevent slippage—hence the term “seton placement for anal fistula.” This technique involves minimal tissue trauma and enables rapid recovery. It preserves anal sphincter function and protects the anal sphincter muscles, thereby minimizing the risk of fecal incontinence. Additionally, it provides effective drainage.