Cutting seton as salvage strategy for complex or recurrent anal fistula: Single-tertiary center 10-year experience with 207 patients

doi:10.4240/wjgs.118935

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World Journal of Gastrointestinal Surgery

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1948-9366

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastrointest Surg. Aug 27, 2026; 18(8): 118935
Published online Aug 27, 2026. doi: 10.4240/wjgs.118935

Table 2 Anal fistula characteristics, n (%)/mean ± SD

Characteristic	Values
Type of fistula
High	102 (49.3)
Low	85 (41.1)
Horseshoe	14 (6.8)
Duration of history in days	22.34 ± 30.7
Recurrent fistula	52 (25.1)
Fistula type based on MRI
Supra-sphincteric	1 (0.5)
Extra-sphincteric	1 (0.5)
Trans-sphincteric	14 (6.8)
Inter-sphincteric	36 (17.4)
Low-sphincteric	4 (1.9)
Horseshoe sphincteric	3 (1.4)
Level of internal opening
Below anal crypts	23 (11.1)
Above anal crypts	17 (8.2)
At anal crypts	125 (60.4)
Postoperative Pezzer insertion	14 (6.8)
Position of internal opening
Anterior	36 (17.4)
Posterior	78 (37.7)
Right lateral	42 (20.3)
Left lateral	49 (23.7)
Distance external opening from anal verge in cm	3.90 ± 9.41
Position of external opening
Anterior	37 (17.9)
Posterior	63 (30.4)
Right lateral	67 (32.4)
Left lateral	75 (36.2)

MRI: Magnetic resonance imaging.

Full Size Table

Citation: Widinly MA, Aljohani MH, Alrebdi A, Beyari MB, Aldeligan SH, Abdulrahman AM, Alkassim A, Almohsen H, Althebaity RE, Almotairi E, Alharbi RA, Almughamsi AM, Alsanea N. Cutting seton as salvage strategy for complex or recurrent anal fistula: Single-tertiary center 10-year experience with 207 patients. World J Gastrointest Surg 2026; 18(8): 118935
URL: https://www.wjgnet.com/1948-9366/full/v18/i8/118935.htm
DOI: https://dx.doi.org/10.4240/wjgs.118935

Widinly MA, Aljohani MH, Alrebdi A, Beyari MB, Aldeligan SH, Abdulrahman AM, Alkassim A, Almohsen H, Althebaity RE, Almotairi E, Alharbi RA, Almughamsi AM, Alsanea N. Cutting seton as salvage strategy for complex or recurrent anal fistula: Single-tertiary center 10-year experience with 207 patients. World J Gastrointest Surg 2026; 18(8): 118935 [DOI: 10.4240/wjgs.118935]

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