{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:32:37Z","timestamp":1777422757810,"version":"3.51.4"},"reference-count":58,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[1995,4,1]],"date-time":"1995-04-01T00:00:00Z","timestamp":796694400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1995,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Seton techniques have been used in the successful management of fistula in ano for thousands of years. In particular, the cutting seton is useful for complex high anal fistula, and drainage setons may have a significant role in the treatment of sepsis related to Crohn's disease and in immunocompromised patients.<\/jats:p>","DOI":"10.1002\/bjs.1800820406","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T22:19:39Z","timestamp":1172960379000},"page":"448-452","source":"Crossref","is-referenced-by-count":67,"title":["Setons in the surgical management of fistula <i>in ano<\/i>"],"prefix":"10.1093","volume":"82","author":[{"given":"J S","family":"McCourtney","sequence":"first","affiliation":[{"name":"Department of Coloproctology, Royal Infirmary , Glasgow G31 2ER,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I G","family":"Finlay","sequence":"additional","affiliation":[{"name":"Department of Coloproctology, Royal Infirmary , Glasgow G31 2ER,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1995,4,1]]},"reference":[{"key":"2024092815361871000_bib1","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1002\/bjs.1800790304","article-title":"Anal fistula","volume":"79","author":"Seow-Choen","year":"1992","journal-title":"Br J Surg"},{"key":"2024092815361871000_bib2","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1007\/BF02560157","article-title":"Fistula-in-ano. A manometric study","volume":"26","author":"Belliveau","year":"1983","journal-title":"Dis Colon Rectum"},{"key":"2024092815361871000_bib3","first-page":"695","article-title":"A manometric study of anorectal function after surgery for anal fistula, with special reference to incontinence","volume":"151","author":"Sainio","year":"1985","journal-title":"Acta Chirurgica Scandinavica"},{"key":"2024092815361871000_bib4","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1016\/S0002-9610(48)90211-6","article-title":"Procedures used in treatment of complicated fistulas","volume":"76","author":"Laird","year":"1948","journal-title":"Am J Surg"},{"key":"2024092815361871000_bib5","first-page":"330","article-title":"Management of high recurrent anal fistula","volume":"93","author":"Oh","year":"1983","journal-title":"Surgery"},{"key":"2024092815361871000_bib6","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1007\/BF02562641","article-title":"Closure of the internal opening for treatment of complex fistula-in-ano","volume":"31","author":"Reznick","year":"1988","journal-title":"Dis Colon Rectum"},{"key":"2024092815361871000_bib7","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1007\/BF02554093","article-title":"Musocal advancement in the treatment of anal fistula","volume":"28","author":"Aguilar","year":"1985","journal-title":"Dis Colon Rectum"},{"key":"2024092815361871000_bib8","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1007\/BF02554276","article-title":"The use of transanal rectal advancement flaps in the management of fistulas involving the anorectum","volume":"30","author":"Jones","year":"1987","journal-title":"Dis Colon Rectum"},{"key":"2024092815361871000_bib9","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1007\/BF02552564","article-title":"Endorectal sliding flap repair of complicated anterior anoperineal fistulas","volume":"31","author":"Shemesh","year":"1988","journal-title":"Dis Colon Rectum"},{"key":"2024092815361871000_bib10","doi-asserted-by":"crossref","first-page":"1187","DOI":"10.1002\/bjs.1800771033","article-title":"Treatment of trans-sphincteric fistulae by full thickness anorectal advancement flaps","volume":"77","author":"Lewis","year":"1990","journal-title":"Br J Surg"},{"key":"2024092815361871000_bib11","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1007\/BF00341278","article-title":"Treatment of anovaginal fistulas with an anocutaneous flap in patients with Crohn's disease","volume":"8","author":"Hesterberg","year":"1993","journal-title":"Int J Colorectal Dis"},{"key":"2024092815361871000_bib12","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1002\/bjs.1800720222","article-title":"Re-routing of the track for the treatment of high anal and anorectal fistulae","volume":"72","author":"Mann","year":"1985","journal-title":"Br J Surg"},{"key":"2024092815361871000_bib13","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1016\/0002-9610(81)90207-5","article-title":"Carbon dioxide laser in the treatment of high anal fistula","volume":"141","author":"Slutzki","year":"1981","journal-title":"Am J Surg"},{"key":"2024092815361871000_bib14","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1007\/BF01647706","article-title":"Excision of fistula in ano","volume":"2","author":"O'Connor","year":"1987","journal-title":"Int J Colorectal Dis"},{"key":"2024092815361871000_bib15","first-page":"816","volume-title":"The Genuine Works of Hippocrates","author":"Adams","year":"1849"},{"key":"2024092815361871000_bib16","first-page":"651","article-title":"A two-stage operation for fistula-in-ano","volume":"58","author":"Allen","year":"1934","journal-title":"Surg Gynecol Obstet"},{"key":"2024092815361871000_bib17","first-page":"489","article-title":"Recent advances in the treatment of rectal diseases","volume":"133","author":"Gabriel","year":"1934","journal-title":"Practitioner"},{"key":"2024092815361871000_bib18","first-page":"754","article-title":"The orthodox conception of fistula-in-ano and its treatment","volume":"55","author":"Thompson","year":"1962","journal-title":"Proc R Soc Med"},{"key":"2024092815361871000_bib19","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1002\/bjs.1800770818","article-title":"Fistulotomy without external sphincter division for high anal fistulae","volume":"77","author":"Kennedy","year":"1990","journal-title":"Br J Surg"},{"key":"2024092815361871000_bib20","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1007\/BF02053687","article-title":"Fistula-in-ano in Crohn's disease. Results of aggressive surgical treatment","volume":"34","author":"Williams","year":"1991","journal-title":"Dis Colon Rectum"},{"key":"2024092815361871000_bib21","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1002\/bjs.1800781004","article-title":"Seton treatment of high anal fistulae","volume":"78","author":"Williams","year":"1991","journal-title":"Br J Surg"},{"key":"2024092815361871000_bib22","first-page":"397","article-title":"Clinical course and management of suprasphincteric and extrasphincteric fistula-in-ano","volume":"156","author":"Fasth","year":"1990","journal-title":"Acta Chirurgica Scandinavica"},{"key":"2024092815361871000_bib23","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1007\/BF02553987","article-title":"Use of the seton in the treatment of extrasphincteric anal fistula","volume":"27","author":"Kuypers","year":"1984","journal-title":"Dis Colon Rectum"},{"key":"2024092815361871000_bib24","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1007\/BF01644991","article-title":"Can the external anal sphincter be preserved in the treatment of trans-sphincteric fistula-in-ano?","volume":"4","author":"Thompson","year":"1989","journal-title":"Int J Colorectal Dis"},{"key":"2024092815361871000_bib25","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1007\/BF02590941","article-title":"The treatment of high fistula-in-ano","volume":"19","author":"Parks","year":"1976","journal-title":"Dis Colon Rectum"},{"key":"2024092815361871000_bib26","first-page":"419","article-title":"The role of seton in fistulotomy of the anus","volume":"157","author":"Ramanujam","year":"1983","journal-title":"Surg Gynecol Obstet"},{"key":"2024092815361871000_bib27","first-page":"945","article-title":"De seton-methode voor de behandeling van de buiten de sfincter gelegen perianale fistel","volume":"129","author":"Kuijpers","year":"1985","journal-title":"Ned Tijdschr Geneeskd"},{"key":"2024092815361871000_bib28","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1007\/BF02052212","article-title":"Seton management of complex anorectal fistulas in patients with Crohn's disease","volume":"33","author":"White","year":"1990","journal-title":"Dis Colon Rectum"},{"key":"2024092815361871000_bib29","doi-asserted-by":"crossref","DOI":"10.1097\/00000441-187507000-00034","volume-title":"On the Treatment of Fistula and Other Sinuses by Means of the Elastic Ligature","author":"Allingham","year":"1875"},{"key":"2024092815361871000_bib30","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1016\/S0025-6196(12)62413-6","article-title":"Use of Penrose drains to treat certain anal fistulas: a primary operative seton","volume":"59","author":"Culp","year":"1984","journal-title":"Mayo Clin Proc"},{"key":"2024092815361871000_bib31","doi-asserted-by":"crossref","first-page":"1093","DOI":"10.1002\/bjs.1800751114","article-title":"A new non-operative approach to fistula in ano","volume":"75","author":"Misra","year":"1988","journal-title":"Br J Surg"},{"key":"2024092815361871000_bib32","first-page":"890","article-title":"Use of braided wire seton for two-stage anorectal fistula operation. Preliminary report","volume":"77","author":"Hyman","year":"1955","journal-title":"Arch Surg"},{"key":"2024092815361871000_bib33","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/0002-9610(50)90217-0","article-title":"Pathogenesis and treatment of extensive atypical anorectal fistulas","volume":"79","author":"Gorsch","year":"1950","journal-title":"Am J Surg"},{"key":"2024092815361871000_bib34","first-page":"661","article-title":"The seton in fistula surgery","volume":"74","author":"Detrano","year":"1977","journal-title":"Journal of the Medical Society of New Jersey"},{"key":"2024092815361871000_bib35","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1177\/004947558601600118","article-title":"Ayurvedic treatment for fistula-in-ano. An example of cheap and simple technology for developing countries","volume":"16","author":"Wolffers","year":"1986","journal-title":"Trap Doct"},{"key":"2024092815361871000_bib36","first-page":"177","article-title":"Multicentric randomized controlled clinical trial of Kshaarasootra (Ayurvedic medicated thread) in the management of fistula in-ano","volume":"94B","author":"Shukla","year":"1991","journal-title":"Indian J Med Res"},{"key":"2024092815361871000_bib37","first-page":"49","article-title":"Treatment of fistula-in-ano by a new technique. Review and follow-up of 200 cases","volume":"24","author":"Deshpande","year":"1973","journal-title":"American Journal of Proctology"},{"key":"2024092815361871000_bib38","first-page":"39","article-title":"Successful non-operative treatment of high rectal fistula","volume":"27","author":"Deshpande","year":"1976","journal-title":"Am J Proctol"},{"key":"2024092815361871000_bib39","first-page":"71","article-title":"Management of fistula-in-ano. Current medical literature","volume":"8","author":"Phillips","year":"1989","journal-title":"Gastroenterology"},{"key":"2024092815361871000_bib40","first-page":"39","volume-title":"Modem Coloproctology. Surgical Grand Rounds from St Mark's Hospital","author":"Lunniss","year":"1993"},{"key":"2024092815361871000_bib41","doi-asserted-by":"crossref","first-page":"970","DOI":"10.1007\/BF01656042","article-title":"Rabinson S. The use of PMMA beads in recurrent high anal fistula: a preliminary report","volume":"8","author":"Kupferberg","year":"1984","journal-title":"World J Surg"},{"key":"2024092815361871000_bib42","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1177\/014107688808100118","article-title":"Master John of Arderne - surgeon of Newark","volume":"81","author":"Beynon","year":"1988","journal-title":"J R Soc Med"},{"key":"2024092815361871000_bib43","first-page":"74","article-title":"Treatises of fistula in ano, hemorrhoids, and clysters","volume":"26","author":"Arderne","year":"1983","journal-title":"Dis Colon Rectum"},{"key":"2024092815361871000_bib44","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1007\/BF02562596","article-title":"Treatises of fistula in ano, hemorrhoids, and clysters","volume":"26","author":"Arderne","year":"1983","journal-title":"Dis Colon Rectum"},{"key":"2024092815361871000_bib45","first-page":"619","volume-title":"Rectum and Anus and Pelvic Colon","author":"Pennington","year":"1908"},{"key":"2024092815361871000_bib46","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1007\/BF02049864","article-title":"Role of the seton in the management of anorectal fistulas","volume":"36","author":"Peark","year":"1993","journal-title":"Dis Colon Rectum"},{"key":"2024092815361871000_bib47","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1007\/BF02554504","article-title":"Surgical management of anorectal fistulas in Crohn's disease","volume":"32","author":"Morrison","year":"1989","journal-title":"Dis Colon Rectum"},{"key":"2024092815361871000_bib48","first-page":"318","article-title":"Selective surgical management of Crohn's disease of the anus","volume":"29","author":"Bernard","year":"1986","journal-title":"Can J Surg"},{"key":"2024092815361871000_bib49","first-page":"42","article-title":"Techniques and results in the management of anal and perianal Crohn's disease","volume":"168","author":"Fry","year":"1989","journal-title":"Surg Gynecol Obstet"},{"key":"2024092815361871000_bib50","first-page":"146","volume-title":"Colon and Rectal Surgery","author":"Corman","year":"1989","edition":"2nd"},{"key":"2024092815361871000_bib51","first-page":"1579","article-title":"Origin and treatment of fistula in-ano","volume":"7","author":"Buie","year":"1927","journal-title":"Surg Clin North Am"},{"key":"2024092815361871000_bib52","first-page":"551","article-title":"Adjustable seton in the management of complex anal fistula","volume":"169","author":"Thompson","year":"1989","journal-title":"Surg Gynecol Obstet"},{"key":"2024092815361871000_bib53","first-page":"339","article-title":"Fistula perianal. Seccion e esfinteres con \u2018seton\u2019","volume":"72","author":"Flich","year":"1987","journal-title":"Revista Espanola de las Enfermedades del Aparato Digestivo"},{"key":"2024092815361871000_bib54","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1007\/BF02561583","article-title":"Treatment of transsphincteric anal fistulas by the seton technique","volume":"29","author":"Christensen","year":"1986","journal-title":"Dis Colon Rectum"},{"key":"2024092815361871000_bib55","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1097\/00000658-197804000-00016","article-title":"Rubber band seton in the management of abscess-anal fistula","volume":"187","author":"Hanley","year":"1978","journal-title":"Ann Surg"},{"key":"2024092815361871000_bib56","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1016\/S0300-5089(21)00258-3","article-title":"Anorectal fistula","volume":"4","author":"Hawley","year":"1975","journal-title":"Clin Gastroenterol"},{"key":"2024092815361871000_bib57","doi-asserted-by":"crossref","first-page":"1135","DOI":"10.1007\/BF02050079","article-title":"Simplified seton management for complex anal fistulas: a novel use for the rubber band ligator","volume":"34","author":"Cirocco","year":"1991","journal-title":"Dis Colon Rectum"},{"key":"2024092815361871000_bib58","doi-asserted-by":"crossref","first-page":"1187","DOI":"10.1001\/archsurg.1986.01400100099019","article-title":"Perianal fistulas in patients with Crohn's disease","volume":"121","author":"van Dongen","year":"1986","journal-title":"Arch Surg"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800820406","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/82\/4\/448\/59413134\/bjs1800820406.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/82\/4\/448\/59413134\/bjs1800820406.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T15:36:40Z","timestamp":1727537800000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/82\/4\/448\/6167254"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1995,4,1]]},"references-count":58,"journal-issue":{"issue":"4","published-online":{"date-parts":[[1995,4,1]]},"published-print":{"date-parts":[[1995,4,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800820406","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1995,4]]},"published":{"date-parts":[[1995,4,1]]}}}