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

Table 3 Univariate and multivariate logistic regression analysis for the parameters affecting recurrence (n = 207) for different parameters

Fistula characteristics	Univariate		Multivariate¹
Fistula characteristics	P value	OR (95%CI)	P value	OR (95%CI)
Duration of history	0.002^a	0.134 (0.038-0.467)	0.566	0.593 (0.100-3.533)
Internal opening
Below anal crypts	0.320	0.353 (0.045-2.754)	NA	NA
Above anal crypts	0.874	1.133 (0.241-5.321)	NA	NA
At anal crypts	0.038^a	3.280 (1.068-10.074)	0.056	4.212 (0.966-18.373)
postoperative Pezzer catheter insertion	0.004^a	5.752 (1.730-19.119)	0.021^a	8.330 (1.384-50.136)
Position of internal opening
Anterior	0.624	0.727 (0.203-2.601)	NA	NA
Posterior	0.022^a	0.232 (0.066-0.810)	0.067	0.242 (0.053-1.103)
Right lateral	0.795	0.860 (0.275-2.690)	NA	NA
Left lateral	0.345	1.589 (0.608-4.153)	NA	NA
Incontinence postoperative	0.018^a	3.075 (1.216-7.775)	0.399	1.726 (0.486-6.132)
Tightening	0.035^a	2.627 (1.073-6.435)	0.099	0.197 (0.029-1.356)

^aP ≤ 0.05.

¹All variables with P < 0.05 were included in the multivariate analysis.

OR: Odds ratio; CI: Confidence interval; NA: Not available.

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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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