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Results of the Gore Bio-A fistula plug implantation in the treatment of anal fistula: a multicentre study

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. Resul...

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Bibliographic Details
Main Authors: Herold, Alexander (Author) , Vershenya, Stanislav (Author)
Format: Article (Journal)
Language:English
Published: 14 July 2016
In: Techniques in coloproctology
Year: 2016, Volume: 20, Issue: 8, Pages: 585-590
ISSN:1128-045X
DOI:10.1007/s10151-016-1505-8
Online Access:Verlag, Volltext: https://doi.org/10.1007/s10151-016-1505-8
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Author Notes:A. Herold, A. Ommer, A. Fürst, F. Pakravan, D. Hahnloser, B. Strittmatter, T. Schiedeck, F. Hetzer, F. Aigner, E. Berg, M. Roblick, D. Bussen, A. Joos, S. Vershenya
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Summary: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.
Item Description:Gesehen am 06.08.2019
Physical Description:Online Resource
ISSN:1128-045X
DOI:10.1007/s10151-016-1505-8

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