why setons should be changed every 12 months.

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Elite Member

Date Joined Sep 2005
Total Posts : 10404
   Posted 4/12/2008 12:27 AM (GMT -7)   
Hi all,

I'm back from surgery and I *finally* have an answer to my question about why they insist on replacing setons annually.

The surgical registrar told me that with time, the fistula tract closes over and stops draining effectively, causing pain, infection and discomfort. They go in, reopen the tract, and that means that all the gloop can start draining properly again.

She also said that if setons are left in too long, there's a risk that they will break.

I know a few of us were confused about this - I hope this helps.

I, glad to be home :-)
Co-Moderator Crohn's Forum.

Veteran Member

Date Joined Apr 2005
Total Posts : 2346
   Posted 4/12/2008 5:21 AM (GMT -7)   

Sept. will be 2 years for my seton. I have absolutely no pain, infection, or discomfort. So I am going to leave well enough alone! If it does break, oh well. It will just fall out, and then we can go in and put another one in, but until that time, I won't be signing up for another surgery.
How are you feeling?  I'm glad that the surgery is over for you!

Regular Member

Date Joined Jan 2006
Total Posts : 117
   Posted 4/12/2008 8:49 PM (GMT -7)   
I have had mine for 8 years and no problem.

Veteran Member

Date Joined Nov 2005
Total Posts : 722
   Posted 4/13/2008 11:11 AM (GMT -7)   

Hi Ivy-

Thanks for sharing and hope you're doing well!

I've had my seton in for just 2 months and I just had a bloody explosion so that makes perfect sense to me.....It seemd to be healing quite well but inside there was a lot of infection.

Happy healing!


37 year old female. Dx'd and undx'd a few times. Was just redx'd again 04/2007.
History of rectal abscesses and fistulas (29 surgeries including abscess I & D, exploratory surgeries, 4 C-ton drains and 1 fistula plug) Have also had several self bursting abscesses.
1st Remicade infusion 6/5/07-still taking it.  Praying I'll get better soon so we can have a baby.
Ginger :)

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