Fistula Surgery
Seton Placement
A seton is a thread or rubber band placed through the fistula tract to promote drainage, control sepsis, and gradually cut through the sphincter muscle over weeks. At his practice in Bangalore, Dr. Adarsh uses cutting and draining setons as part of a staged approach for high or complex anal fistulas where immediate fistulotomy would risk incontinence.
About Seton Placement
Seton placement involves threading a silicone or silk suture through the fistula tract and tying it loosely. The seton promotes drainage, prevents abscess recurrence, and can be used as a staged approach before definitive repair. Dr. Adarsh uses cutting setons for simple fistulas and draining setons as a bridge to sphincter-preserving surgery for complex cases.
Signs & Symptoms
Active perianal sepsis with fistula
Complex fistula requiring staged treatment
High trans-sphincteric fistula
Crohn's disease-related fistula
Treatment Approaches
Cutting Seton
Draining Seton
Staged Seton with Definitive Repair
Why Choose This Approach
Benefits of Treatment
Controls sepsis and prevents abscess recurrence
Allows inflammation to settle before definitive repair
Can be performed under local anesthesia
Preserves sphincter function
Useful bridge to definitive surgery
Recovery Timeline
Same-day discharge.
Get accustomed to seton. Mild discharge is normal.
Regular follow-ups. Seton may be tightened or replaced.
Proceed with LIFT, laser, or advancement flap.
Why Choose Dr. Adarsh for Seton Placement?
Expert Surgeon in Bangalore
Over 20+ years of experience performing seton placement procedures in Bangalore with excellent outcomes. Fellowship-trained in Belgium and Boston University, USA.
Faster Recovery
Minimally invasive techniques mean less pain, smaller scars, and quicker return to normal activities.
Advanced Technology
Access to the latest laparoscopic, robotic, and laser surgical equipment at Apollo Clinic, Indiranagar, Bengaluru.
Personalized Care
Every patient across Bangalore receives a customized treatment plan based on their specific condition and health goals.
Common Questions
Frequently Asked Questions
Related Procedures
Explore other fistula surgery procedures offered by Dr. Adarsh.
Book Your Seton Placement Consultation
Discuss your seton placement treatment options with Dr. Adarsh M. Patil at Apollo Clinic, Indiranagar, Bengaluru. Get a personalized assessment and transparent cost estimate.