S.P.A.N.C.

This blog is meant to be a place for Sunnybrook Peri-Anesthesia Nurses (Pre-Admission Centre, Same Day Surgery, Post Anesthetic Are Unit and Surgical Short Stay Unit) to stay in communication with each other and to be up-to-date with concerns regarding the Peri-Anesthesia Department. The Purpose of S.P.A.N.C is •To re-implement a unit based council •to identify the unique role of the Peri-anesthesia nurse and to help staff from other areas understand what it is that we do •to create a collegial atmosphere for sharing our professional experiences within the subgroups of Peri-anesthesia •to facilitate open discussion and priority of issues relating to professional practice, education and research that impact on the quality of our work life and thereby affect positive outcomes for our patients and their families.

Thursday, November 6, 2008

Question & Answers 'Seton's'

A question was asked by Rose D from Same Day Surgery regarding Setons as they have been seeing these procedures done on patients who have rectal fistulas. I posed the question to the surgeon performing these procedures and also asked her to look over an article I found on-line. Routine Use of Setons for the Treatment of Anal Fistulae

According to Dr. F, "they are a comfortable loosely placed soft small piece of material that is no maintenance. It really doesn’t require discharge teaching in Same Day. I review everything with the patients in the office. I just looked at the picture (see article) you have. I use a softer material and it is never left with long ends….most patients hardly notice it is there…but this is the principle.
The seton is a drain that is placed between the internal opening of the fistula and the external. It is a loop. It is not a cutting seton – I never put a seton drain in that needs to be tightened. It is basically just a little piece of soft plastic requiring no maintenance on the part of the patient and no home care.

Thanks Rose for posing the Question!
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