Decompression and Drainage Seton in the Treatment of High Complex Anal Fistula

Cutting Seton Versus Decompression and Drainage Seton in the Treatment of High Complex Anal Fistula

This study aimed to compare the efficacy of the decompression and drainage seton (DADS) and cutting seton (CS) in the treatment of high complex anal fistula.

Inclusion Criteria:

• high trans-sphincteric cryptoglandular anal fistulas (involving >30% of the EAS muscles evaluated through magnetic resonance imaging (MRI) scan, endoanal ultrasonography)
• suprasphincteric fistulas were enrolled

Exclusion Criteria:

• Low anal fistula; -Non-glandular anal fistulas, such as tuberculous anal fistula and Crohn's anal fistula; -
• Patients with symptoms of fecal incontinence;
• A previous history of anal fistula surgical treatment;
• Patients with malignant tumors or mental illness or other reasons unable to cooperate with the treatment.