[On fistulas and threads : Sense and nonsense of seton drainage].

Background: In the daily practice of a large proctological center numerous wrong or misplaced fistula threads are encountered. This indicates that there are misconceptions and knowledge gaps in this surgical field in nonspecialized general surgeons.
Material and Methods: Comprehensive footage of own experiences in a proctological center shows faulty threads and correct loop placement.
Results: In fistula treatment there is still a distinct need for improvement. This synopsis is an educational contribution.
Conclusion: In the case of a lack of experience in proctological surgery, education and training has to be provided for the decent management of anal fistulas with correct threads.
(© 2023. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.)