The name “Sandwich Approach” comes from its structure. Think of two slices of bread with filling in between. Here, biofeedback therapy is given before surgery. Then targeted surgery is done in the middle. After that, biofeedback therapy is given again. This is why it is called a “sandwich.”
An anal fistula is like a small tunnel. It forms between the inside of the anal canal and the skin near the anus. Most fistulas start after an anal abscess does not heal fully. A small channel is left behind, and infection keeps coming out from it.
An anal fistula is a small tunnel. It forms between the inside of the anus and the skin outside. It usually develops after an anal abscess does not heal properly.
A seton is a thin piece of thread, a rubber band, or a surgical suture. In the seton procedure, this material is carefully threaded through the fistula tract and tied loosely outside the body. It stays inside the tract — not to close it immediately — but to manage it over time.
When dealing with persistent pain, discharge, or swelling near the anal region, many patients feel confused and uncomfortable seeking help.
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