Erschienen in:
01.06.2014 | Trick of the Trade
How to place a seton and prevent it slipping: mission impossible?
verfasst von:
R. Cantero Cid, J. Salinas Gómez, D. García Olmo
Erschienen in:
Techniques in Coloproctology
|
Ausgabe 6/2014
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Excerpt
Surgeons need to sharpen their wits when there is a lack of adequate instruments for particular maneuvers or moves, and thus imagination and do-it-yourself skills are also core qualities for surgeons, and many times, the best instrument in the surgical box. An example all colorectal surgeons might know is the placement of a seton in an anal fistula. Tying a seton to a Lockhart-Mummery probe without an eye or hole at the tip is sometimes a hard task to perform, because the seton slips from the probe again and again, until it finally passes the fistula tract. To prevent this, we have developed a trick based on the use of a piece of Abbocath, through which a silk ligature is passed, to “dock” the seton to the fistula probe. It is ingenious and simple and we would like to share it. …
