Journal article
Results of the Gore Bio-A fistula plug implantation in the treatment of anal fistula: a multicentre study.
- Herold A End- und Dickdarmzentrum, Mannheim, Germany.
- Ommer A Klinik für Chirugie, Kliniken Essen-Mitte, Essen, Germany.
- Fürst A Caritas Krankenhaus, Regensburg, Germany.
- Pakravan F Coloproktologisches Zentrum Düsseldorf, Düsseldorf, Germany.
- Hahnloser D Klinik für Viszeralchirurgie, Universitäts-Spital, Zurich, Switzerland.
- Strittmatter B Praxisklinik 2000, Freiburg, Germany.
- Schiedeck T Klinik für Viszeralchirurgie, Klinikum Ludwigsburg, Ludwigsburg, Germany.
- Hetzer F Klinik für Chirurgie, Kantonsspital, Schaffhausen, Switzerland.
- Aigner F Chirurgische Klinik Universität Innsbruck, Innsbruck, Austria.
- Berg E Prosper Hospital, Recklinghausen, Germany.
- Roblick M End- und Dickdarmzenrtum Hannover, Hannover, Germany.
- Bussen D End- und Dickdarmzentrum, Mannheim, Germany.
- Joos A End- und Dickdarmzentrum, Mannheim, Germany.
- Vershenya S Department of Surgery, University Medical Centre Mannheim, Medical Faculty Mannheim of the University of Heidelberg, Mannheim, Germany. stanislav.vershenya@umm.de.
- 2016-07-16
Published in:
- Techniques in coloproctology. - 2016
Anal fistula
Anal fistula plug
Bioabsorbable plug
Absorbable Implants
Adult
Cutaneous Fistula
Dioxanes
Female
Follow-Up Studies
Humans
Length of Stay
Male
Middle Aged
Operative Time
Polyglycolic Acid
Prospective Studies
Prosthesis Failure
Prosthesis Implantation
Rectal Fistula
Reoperation
Treatment Outcome
Wound Healing
English
BACKGROUND
The aim of this prospective study was to determine the efficiency of the Gore Bio-A synthetic plug in the treatment of anal fistulas.
METHODS
A synthetic bioabsorbable anal fistula plug was implanted in 60 patients. All fistulas were transsphincteric and cryptoglandular in origin.
RESULTS
The healing rate after 1 year of follow-up was 52 % (31 out of 60 patients). No patient was lost to follow-up. The treatment had no effect on the incontinence score. The plug dislodgement rate was 10 % (6 out of 60 patients). Thirty-four per cent of the patients (16 out of 47) required reoperation. The average operating time was 32 ± 10.2 min, and the average length of hospital stay was 3.3 ± 1.8 days.
CONCLUSIONS
Synthetic plugs may be an alternative to bioprosthetic fistula plugs in the treatment of transsphincteric anal fistulas. This method might have better success rates than treatment with bioprosthetic fistula plugs.
The aim of this prospective study was to determine the efficiency of the Gore Bio-A synthetic plug in the treatment of anal fistulas.
METHODS
A synthetic bioabsorbable anal fistula plug was implanted in 60 patients. All fistulas were transsphincteric and cryptoglandular in origin.
RESULTS
The healing rate after 1 year of follow-up was 52 % (31 out of 60 patients). No patient was lost to follow-up. The treatment had no effect on the incontinence score. The plug dislodgement rate was 10 % (6 out of 60 patients). Thirty-four per cent of the patients (16 out of 47) required reoperation. The average operating time was 32 ± 10.2 min, and the average length of hospital stay was 3.3 ± 1.8 days.
CONCLUSIONS
Synthetic plugs may be an alternative to bioprosthetic fistula plugs in the treatment of transsphincteric anal fistulas. This method might have better success rates than treatment with bioprosthetic fistula plugs.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1007/s10151-016-1505-8
- PMID 27418257
- Persistent URL
- https://folia.unifr.ch/global/documents/255606
Statistics
Document views: 7
File downloads: