Efficacy of the anal fistula plug in complex anorectal fistulae

Autor: I. D. Botterill, Steen Buntzen, N. S. Ambrose, D. K. Thekkinkattil, Paul J. Finan, P. M. Sagar, Lilli Lundby
Rok vydání: 2009
Předmět:
Zdroj: Thekkinkattil, D, Botterill, I, Ambrose, S, Lundby, L, Sagar, P, Buntzen, S & Finan, P 2008, ' Efficacy of the Anal Fistula Plug in Complex Anorectal Fistulae ', Colorectal Disease . https://doi.org/10.1111/j.1463-1318.2008.01627.x
ISSN: 1463-1318
1462-8910
Popis: Udgivelsesdato: 2008-Jul-15 Objective: The treatment of complex anorectal and rectovaginal fistulae remains a difficult problem. The options are fistulotomy, setons, fibrin glue, and a variety of flap procedures. Recently, there have been several reports of a new plug; the Surgisis((R)) AFPtrade mark plug. Reports from various centres do not give consistent results. The aim of this study was to assess the efficacy of the Surgisis((R)) AFPtrade mark fistula plug in a wide spectrum of patients with anorectal, rectovaginal and pouch vaginal fistulae. Patients and Methods: Between March 2006 and September 2007, patients with a variety of anal fistulae were selected for fistula plug insertion in the coloproctology units at Leeds, UK and Aarhus, Denmark. Demographic and fistulae details were obtained. Post operatively, all patients had a course of oral antibiotics. Results: Forty-three patients with a median age of 45 (range 18-65) years underwent a total of 45 procedures. Seventy-five per cent (n=32) had a fistula secondary to cryptoglandular abscess. Median follow up was 47 (range 12-77) weeks. The success rate for complete healing was 44%. Dislodgement caused failure on 10 (22%) occasions. Conclusion: Our study shows a moderate success rate for treatment with fistula plugs. The complex nature of the fistulae selected may be the reason for the low success rate.
Databáze: OpenAIRE
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