Efficacy of the anal fistula plug in complex anorectal fistulae.
Colorectal Dis
; 11(6): 584-7, 2009 Jul.
Article
em En
| MEDLINE
| ID: mdl-18637922
ABSTRACT
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 AFP plug. Reports from various centres do not give consistent results. The aim of this study was to assess the efficacy of the Surgisis AFP fistula plug in a wide spectrum of patients with anorectal, rectovaginal and pouch vaginal fistulae.METHOD:
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. Postoperatively, 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.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Curativos Biológicos
/
Fístula Retovaginal
/
Implantes Absorvíveis
Idioma:
En
Ano de publicação:
2009
Tipo de documento:
Article