Seton Placement is a technique used to treat complex anal fistulas that may involve multiple tracts or difficult-to-reach areas. A seton is a surgical thread inserted into the fistula tract, which helps drain any fluid and promotes the formation of healthy tissue over time. The seton is typically left in place for several weeks to months.

The procedure is performed under general anesthesia, and the seton is placed with minimal disruption to surrounding tissues. Postoperative care includes monitoring the seton for signs of infection or complications and ensuring that the area remains clean and dry. Pain management and stool softeners are recommended to prevent strain during bowel movements.

In some cases, the seton may be tightened periodically to promote further healing, or a secondary procedure may be required to close the fistula completely. Follow-up visits are essential to assess progress and make adjustments as needed.

Seton placement is an effective and less invasive approach for managing complex fistulas, providing a way to treat difficult cases without the need for more extensive surgery.