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Session: ePoster Monitor 4-Benign Anorectal Disease 2

eP550 - Changes in Patients' Quality of Life According to Different Types of Seton Application: Results of a Randomized Controlled Trial

Monday, June 3, 2024
8:27 AM – 8:32 AM ET, USA
Location: Baltimore Convention Center, Room 318-320

    Author(s)

  • Kerem OZGU

    Resident
    General Surgery
    ANKARA UNIVERSITY
    Tunali/Ankara, Ankara, Turkey

    Disclosure information not submitted.

    • Author(s)

  • MK

    Mehmet Ali Koç, General Surgery

    Faculty Member
    Ankara University
    Ankara, Ankara, Turkey

    Disclosure information not submitted.

  • DG

    Derya Gökmen, n/a

    Lecturer
    Assoc.Prof
    Ankara, Ankara, Turkey

    Disclosure information not submitted.

    • ePoster Presenter(s)

  • Cihangir Akyol, Cihangir Akyol (he/him/his)

    Professor of Surgery
    Ankara University
    Ankara, Ankara, Turkey

    All of the relevant financial relationships listed below have been mitigated.
    This individual has no financial relationships with ineligible companies.

Purpose/Background: Perianal fistula is a very common disease which alters quality of life (QoL) of the patients. There are several treatment options, with seton being one of the most popular. The aim of study is to evaluate the relationship between QoL and different knot types while applying seton to the anal fistula.Methods/Interventions: Between July 2021 and October 2023, patients with transsphincteric anal fistula were enrolled in the study. Patients were divided into three groups based on the knot types. Seton tips in group A were knotted in an alpha-shaped pattern. In group B, the seton tips were overlapping and linked together. There were no palpable free ends. Comfort-knotless seton was used in group C. All the patients completed the Quality of Life in Patients with Anal Fistula Questionnaire (QoLAF-Q) on 14th day, 30th day and 90th day.Results/Outcomes: 62 patients were randomized. There were 51 men. Median age was 43. There were 21 patients in group A, 21 patients in group B, and 20 patients in group C. 2 group C patients and 4 group B patients had complications. These include abscess, anal pain. A significant difference was found between group C and group A according to questionnaire of physical component (p:0,038). The mean duration of surgery was 11 minutes in group A, 10 minutes in group B, and 9 minutes in group C. There was no significant difference between the groups according to operation time.Conclusion/

Discussion: A significant difference was found between group C and the group A in postoperative quality of life according to the Qolaf questionnaire. Group C was found to be superior to the Group A in terms of quality of life."Group A

Seton tips in group A were knotted in an alpha-shaped pattern
Group B

In group B, the seton tips were overlapping and linked together.
Group C

Comfort-knotless seton was used in group C.
Results

Result of ANOVA Test"