Diseases of the Colon & Rectum

, Volume 34, Issue 12, pp 1135–1137 | Cite as

Simplified seton management for complex anal fistulas: A novel use for the rubber band ligator

  • William C. Cirocco
  • Lawrence C. Rusin
Technical Notes


The seton has been useful in the treatment of complex anal fistulas. Various complicated methods to enhance the advancement of the seton through the external sphincter muscles have been described. We use a common office implement, the rubber band ligator, to manage the seton in an outpatient setting.

Key words

Anal fistula Seton Rubber band ligator Surgical technique 


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Copyright information

© American Society of Colon & Rectal Surgeons 1991

Authors and Affiliations

  • William C. Cirocco
    • 1
  • Lawrence C. Rusin
    • 1
  1. 1.Department of Colon and Rectal SurgerySaint Vincent Health Center and Harriot Medical CenterErie

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