A perianal fistula treatment device comprises an implant coil 11, 40 and a drainage seton 13, 44. A delivery implement 205 of the delivery mechanism rotates the coil. The coil closes the fistula internal opening by compressing the tract's surrounding tissue inwardly such that the tissue is brought within close approximation creating a seal impermeable to foreign materials and promoting tissue growth across the closely approximated fistula tract. A drainage seton 13 provides a conduit to drain any abscess and remaining or newly formed exudate and fluids from the fistula tract 6 during the healing process. At least a portion of the seton and coil may be bioabsorbable.
