Seton Placement
Staged drainage seton for complex anal fistulas — maintaining tract drainage while inflammation resolves.
What is Seton Placement?
A seton is a thread or suture passed through the fistula tract and tied loosely as a loop. It is used as a staged approach for complex high fistulas, maintaining drainage, controlling infection, and allowing post-inflammatory fibrosis before definitive sphincter-preserving surgery.
Dr. Tagore Mohan Grandhi uses seton placement as the first stage for complex and Crohn's-related fistulas. The seton is kept in place for 6–12 weeks while inflammation resolves and biologic therapy is established before definitive closure.
Suitable for patients with complex high transsphincteric or suprasphincteric fistulas where definitive surgery cannot be safely performed at the initial presentation due to active sepsis or complex anatomy.
How the Procedure Works
Examination Under Anaesthesia (EUA)
Fistula anatomy confirmed under anaesthesia. All tracts, secondary extensions, and internal opening identified. Entire tract probed.
Seton Threading
Non-absorbable thread (silastic sloop or 0 PDS) passed through the tract from external to internal opening.
Loose Tie
Seton tied loosely as a comfortable loop — maintains drainage without cutting through muscle.
Biologic Therapy
For Crohn's fistulas, biologic therapy commenced and continued with seton in situ to control inflammation.
Definitive Surgery Planning
Definitive sphincter-preserving procedure planned at 6–12 weeks once tract is fibrosed, quiescent, and ready.
Outcomes
Who Needs This Treatment?
- →Controls infection and prevents recurrent abscess during staged treatment
- →Allows inflammation to subside making definitive surgery safer
- →Essential first step for Crohn's fistulas before biologic treatment
- →Preserves all future treatment options — no sphincter damage from seton
The seton is the first step in treating complex fistulas safely. It controls the infection, matures the tract, and gives us the time to plan the definitive sphincter-preserving procedure without rushing.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Seton Placement Cost in Hyderabad
The cost of Seton Placement for Crohn’s Disease in Hyderabad depends on factors such as the complexity of the fistula, severity of perianal Crohn’s disease, investigations required, and follow-up care needed after the procedure.
For patients with perianal Crohn’s fistula, the approximate cost of Seton Placement ranges between ₹25,000 and ₹55,000.
| Procedure | Approximate Cost Range |
|---|---|
| Seton Placement | ₹25,000 – ₹55,000 |
The final cost may vary depending on your individual condition, fistula complexity, hospital care, and whether additional procedures or treatments are required.
Factors That Influence Seton Placement Cost
The overall cost may depend on:
- →
Fistula complexity: The number, location, and complexity of fistula tracts associated with Crohn’s disease can influence treatment planning.
- →
Pre-procedure evaluation: Clinical examination, imaging such as MRI fistulogram (when advised), blood tests, and other assessments may affect the overall cost.
- →
Associated Crohn’s disease management: Patients may require additional medical management, including medications or biologic therapy, depending on disease activity.
- →
Follow-up care: Regular monitoring, wound care, and consultations after the procedure may influence the overall treatment cost.
Is Seton Placement Covered by Insurance?
Ileostomy performed for medically necessary treatment may be covered by health insurance. Coverage depends on your policy terms, insurer approval, and documentation requirements.
Our insurance support team can assist with policy verification, documentation, and cashless approval procedures.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tagore Grandhi
Orthopaedic & Joint Replacement Surgeon
During consultation, Dr. Tagore Mohan Grandhi, Bariatric & GI Surgeon at Lux Hospitals, will assess your Crohn’s disease severity, bowel condition, and overall health to recommend the appropriate treatment approach. He will explain the procedure, recovery process, lifestyle considerations, and provide a personalised cost estimate.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Tagore Grandhi and get a personalised treatment plan.