Seton: Draining or Cutting? | Anal fistula surgery
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What do setons ACTUALLY do? Seton drains keep the fistula tracts open and draining. When they don’t drain? Pressure builds → abscess → potential sepsis. Abscess means fever, chills, and fatigue that actually knock me out. Every surgery is an “exam under anesthesia” - they map where the tracts are, place the drains, tie them off. Disease moves, they adjust. New tract forms without a drain? Same cycle starts again. This is what keeps me out of the hospital. | Rob Nunnery
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What do setons ACTUALLY do? Seton drains keep the fistula tracts open and draining. When they don’t drain? Pressure builds → abscess → potential sepsis. Abscess means fever, chills, and fatigue that actually knock me out. Every surgery is an “exam under anesthesia” - they map where the tracts are, place the drains, tie them off. Disease moves, they adjust. New tract forms without a drain? Same cycle starts again. This is what keeps me out of the hospital. | Rob Nunnery
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Still figuring this part out. With perianal Crohn’s, fluid drainage is part of the deal. Seton drains help it exit the body so it doesn’t get trapped and cause infections. Sometimes it works perfectly, sometimes it doesn’t. I’ve tried every medication and biologic out there. For some people, it stops the drainage. For me, not yet. The colostomy has helped a ton, but the area still needs time to heal. A full reversal is possible if that happens, and that’s still the goal, but I have zero expectat
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Still figuring this part out. With perianal Crohn’s, fluid drainage is part of the deal. Seton drains help it exit the body so it doesn’t get trapped and cause infections. Sometimes it works perfectly, sometimes it doesn’t. I’ve tried every medication and biologic out there. For some people, it stops the drainage. For me, not yet. The colostomy has helped a ton, but the area still needs time to heal. A full reversal is possible if that happens, and that’s still the goal, but I have zero expectat
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