{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T22:27:27Z","timestamp":1772317647648,"version":"3.50.1"},"reference-count":75,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2015,5,21]],"date-time":"2015-05-21T00:00:00Z","timestamp":1432166400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>No single procedure for high anal fistula delivers a high cure rate while also completely protecting sphincter function. This paper reports our long\u2010term results with the cutting seton for high fistulae and draws comparisons with advancement flap and ligation of intersphincteric fistula track (<jats:styled-content style=\"fixed-case\">LIFT<\/jats:styled-content>) procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective study of prospectively collected data in consecutive patients undergoing treatment with cutting seton for high cryptoglandular fistulae was carried out. A strict protocol dictated tightening intervals of at least 4 weeks and no muscle division. In 59 patients (male\u2009:\u2009female = 39:20) followed\u2010up at mean 9.4 years (range 1.7\u201315.6 years) healing rates, continence (<jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>t <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ark's score 0\u201324), patient\u2010perceived overall change in bowel control (\u22125 to +5), faecal incontinence quality of life (<jats:styled-content style=\"fixed-case\">FIQL<\/jats:styled-content>) and overall patient satisfaction (visual analogue score 0\u201310) were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Primary and secondary healing rates were 93% and 98%. Mean continence score was 4.1, significantly worse in women than men (median 6, range 0\u201322 versus median 1, range 0\u201317; <jats:italic>P<\/jats:italic> = 0.006). Seventy\u2010eight per cent of patients had normal continence or minor incontinence (score 0\u20136), 13.5% moderate incontinence (score 7\u201312) and 8.5% severe incontinence (score &gt;12). Sixty\u2010three per cent of patients had no change or improved patient\u2010perceived overall bowel control. Mean <jats:styled-content style=\"fixed-case\">FIQL<\/jats:styled-content> scores were high and significantly correlated with continence. Median satisfaction score was 9.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Cutting seton for high anal fistula achieved healing in 98% with good continence in the majority, particularly in males, and a high level of patient satisfaction. Multicentre prospective studies are needed to adequately compare cutting seton, flap and <jats:styled-content style=\"fixed-case\">LIFT<\/jats:styled-content> procedures.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.13156","type":"journal-article","created":{"date-parts":[[2015,5,22]],"date-time":"2015-05-22T03:14:44Z","timestamp":1432264484000},"page":"720-727","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["Long\u2010term results of the cutting seton for high anal fistula"],"prefix":"10.1111","volume":"85","author":[{"given":"Vicki","family":"Patton","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery St George Hospital  Sydney New South Wales Australia"},{"name":"University of New South Wales  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chung Ming","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery St George Hospital  Sydney New South Wales Australia"},{"name":"Mount Elizabeth Novena Specialist Centre Affinity Surgery Centre  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Lubowski","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery St George Hospital  Sydney New South Wales Australia"},{"name":"University of New South Wales  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,5,21]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800820406"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2008.01713.x"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2005.00926.x"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02234574"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1479-666X(08)80117-5"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02070710"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02070710"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00346220"},{"key":"e_1_2_5_10_1","first-page":"289","article-title":"Functional results after seton treatment of high transsphincteric anal fistulas","volume":"161","author":"Graf W","year":"1995","journal-title":"Eur. 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