Cutting of Inter sphincteric Space Outperforms Cutting Seton in Healing

In a study involving 72 patients with high anal fistula, cutting of the intersphincteric space (cois) significantly reduced wound healing time to 35.75 days compared to 55.69 days for cutting seton (cs) (p<0.001). Cois demonstrated superior surgical outcomes, including higher anal resting and maximum contractile pressures at three months post-operation, and a lower Wexner incontinence score (0.50 vs. 3.00, p<0.001). Both techniques showed similar low recurrence rates, highlighting cois as an effective treatment option.