{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T15:38:14Z","timestamp":1773157094294,"version":"3.50.1"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[1995,7,1]],"date-time":"1995-07-01T00:00:00Z","timestamp":804556800000},"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":[[1995,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Staged fistulotomy with a seton is considered to decrease the high incidence of continence disorders after surgical incision of a fistula. This retrospective study reports the results of the two-stage procedure with special emphasis on faecal continence. Thirty-four patients (aged between 20 and 57 years) were treated between 1981 and 1990 with a two-stage seton procedure for anal fistula (16 extrasphincteric and 18 trans-sphincteric) with a high anal or rectal internal opening. Thirty-one patients had normal preoperative continence. There were two recurrences. All trans-sphincteric fistulas healed. Twenty-nine patients with preoperative normal faecal control were available for follow-up. Postoperative continence was normal in 12 patients (category A according to Browning and Parks classification2): five patients had no control over flatus (B), 11 were incontinent for liquid stool or flatus (C) and one had continued faecal leakage (D). The two-stage seton technique is not recommended for fistulas with high anal or rectal openings.<\/jats:p>","DOI":"10.1002\/bjs.1800820711","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T22:37:27Z","timestamp":1172961447000},"page":"895-897","source":"Crossref","is-referenced-by-count":62,"title":["Seton treatment of perianal fistula with high anal or rectal opening"],"prefix":"10.1093","volume":"82","author":[{"given":"W F","family":"Van Tets","sequence":"first","affiliation":[{"name":"Department of Surgery, University Hospital Nijmegen , Geert Grooteplein 14, PO Box 9101, 6500 HB Nijmegen,","place":["Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J H C","family":"Kuijpers","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital Nijmegen , Geert Grooteplein 14, PO Box 9101, 6500 HB Nijmegen,","place":["Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1995,7,1]]},"reference":[{"key":"2024092816261348500_bib1","doi-asserted-by":"crossref","first-page":"1194","DOI":"10.1007\/BF02257781","article-title":"Continence disorders after anal fistulotomy","volume":"37","author":"van Tets","year":"1994","journal-title":"Dis Colon Rectum"},{"key":"2024092816261348500_bib2","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1002\/bjs.1800700216","article-title":"Postanal repair for neuropathic faecal incontinence: correlation of clinical result and anal canal pressures","volume":"70","author":"Browning","year":"1983","journal-title":"Br J Surg"},{"key":"2024092816261348500_bib3","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":"2024092816261348500_bib4","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":"2024092816261348500_bib5","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":"2024092816261348500_bib6","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":"2024092816261348500_bib7","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":"Pearl","year":"1993","journal-title":"Dis Colon Rectum"},{"key":"2024092816261348500_bib8","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1007\/BF02053687","article-title":"Fistula in ano in Crohn's disease. 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A study of 1023 patients","volume":"27","author":"Ramanujam","year":"1984","journal-title":"Dis Colon Rectum"},{"key":"2024092816261348500_bib12","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":"2024092816261348500_bib13","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":"2024092816261348500_bib14","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":"2024092816261348500_bib15","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1007\/BF02134180","article-title":"Disorders of impaired fecal control. A clinical and manometric study","volume":"33","author":"Kuijpers","year":"1990","journal-title":"Dis Colon Rectum"},{"key":"2024092816261348500_bib16","first-page":"65","volume-title":"Colorectal Physiology: Fecal Incontinence","author":"Kuijpers","year":"1994"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800820711","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/82\/7\/895\/59418567\/bjs1800820711.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/82\/7\/895\/59418567\/bjs1800820711.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T16:26:19Z","timestamp":1727540779000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/82\/7\/895\/6166344"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1995,7,1]]},"references-count":16,"journal-issue":{"issue":"7","published-online":{"date-parts":[[1995,7,1]]},"published-print":{"date-parts":[[1995,7,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800820711","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1995,7]]},"published":{"date-parts":[[1995,7,1]]}}}