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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Hauptverfasser: Herold, Alexander (VerfasserIn) , Vershenya, Stanislav (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 14 July 2016
In: Techniques in coloproctology
Year: 2016, Jahrgang: 20, Heft: 8, Pages: 585-590
ISSN:1128-045X
DOI:10.1007/s10151-016-1505-8
Online-Zugang:Verlag, Volltext: https://doi.org/10.1007/s10151-016-1505-8
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Verfasserangaben: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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520 |a 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. 
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