{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:45:05Z","timestamp":1787031905068,"version":"build-2736575974"},"reference-count":15,"publisher":"Wiley","license":[{"start":{"date-parts":[[2011,4,28]],"date-time":"2011-04-28T00:00:00Z","timestamp":1303948800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ISRN Surgery"],"published-print":{"date-parts":[[2011,4,28]]},"abstract":"<jats:p>\n                    <jats:italic>Objective<\/jats:italic>\n                    . To determine the fecal incontinence and recurrence rate in patients with complex fistula in ano managed with cable tie seton at a tertiary care teaching hospital.\n                    <jats:italic>Methods<\/jats:italic>\n                    . This is a prospective case series of patients with complex anal fistula i.e. recurrent fistula or encircling &gt;30% of external anal sphincter, managed with cable tie seton from March 2003 to March 2009. Patients were seen in the clinic after 72 hours of seton insertion under anesthesia and then every other week. Each time the cable-tie was tightened if found loose without anesthesia and incontinence was inquired according to wexner's score.\n                    <jats:italic>Results<\/jats:italic>\n                    .  Seventy nine patients were treated during the study period with the age (mean \u00b1 standard deviation) of 41 \u00b1 10.6 years and. The seton was tightened with a median of six times (3\u201315 times range). Complete healing was achieved in 11.2 \u00b1 5.7 weeks. All the patients were followed for a minimum period of one year and none of the patients had any incontinence. Recurrence was found in 4 (5%) patients.\n                    <jats:italic>Conclusion<\/jats:italic>\n                    . The cable tie seton is safe, cost effective and low morbidity option for the treatment of complex fistulae-in-ano.  It can, therefore, be recommended as the standard of treatment for complex fistulae-in-ano requiring the placement of a seton.\n                  <\/jats:p>","DOI":"10.5402\/2011\/636952","type":"journal-article","created":{"date-parts":[[2011,4,28]],"date-time":"2011-04-28T15:31:33Z","timestamp":1304004693000},"page":"1-5","source":"Crossref","is-referenced-by-count":28,"title":["Treatment of Complex Fistula in Ano with Cable-Tie Seton:  A Prospective Case Series"],"prefix":"10.5402","volume":"2011","author":[{"given":"Ayaz Ahmad","family":"Memon","sequence":"first","affiliation":[{"name":"Aga Khan University Hospital, Karachi 74800, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghulam","family":"Murtaza","sequence":"additional","affiliation":[{"name":"Aga Khan University Hospital, Karachi 74800, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rizwan","family":"Azami","sequence":"additional","affiliation":[{"name":"Aga Khan University Hospital, Karachi 74800, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasnain","family":"Zafar","sequence":"additional","affiliation":[{"name":"Aga Khan University Hospital, Karachi 74800, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tabish","family":"Chawla","sequence":"additional","affiliation":[{"name":"Aga Khan University Hospital, Karachi 74800, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Altaf Ali","family":"Laghari","sequence":"additional","affiliation":[{"name":"Aga Khan University Hospital, Karachi 74800, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-007-0334-7"},{"issue":"1","key":"2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1002\/bjs.1800630102","volume":"63","year":"1976","journal-title":"British Journal of Surgery"},{"issue":"4","key":"3","first-page":"682","volume":"114","year":"1993","journal-title":"Surgery"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-7248-z"},{"issue":"3","key":"5","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1002\/bjs.1800790304","volume":"79","year":"1992","journal-title":"British Journal of Surgery"},{"issue":"6","key":"6","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1007\/BF02049864","volume":"36","year":"1993","journal-title":"Diseases of the Colon and Rectum"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2008.01713.x"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2009.01810.x"},{"issue":"1","key":"9","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1136\/gut.44.1.77","volume":"44","year":"1999","journal-title":"Gut"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2006.06.048"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-007-9793-5"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-004-0080-6"},{"issue":"5","key":"13","first-page":"349","volume":"81","year":"2010","journal-title":"Annali Italiani Di Chirurgia"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181c160c4"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-003-0016-6"}],"container-title":["ISRN Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/archive\/2011\/636952.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/archive\/2011\/636952.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/archive\/2011\/636952.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,8]],"date-time":"2020-12-08T18:45:20Z","timestamp":1607453120000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/isrn\/2011\/636952\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,4,28]]},"references-count":15,"alternative-id":["636952","636952"],"URL":"https:\/\/doi.org\/10.5402\/2011\/636952","relation":{},"ISSN":["2090-5785","2090-5793"],"issn-type":[{"value":"2090-5785","type":"print"},{"value":"2090-5793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,4,28]]}}}