Results of the Gore Bio-A fistula plug implantation in the treatment of anal fistula

• Verfasst von: Herold, Alexander [VerfasserIn]
• Verfasst von: Vershenya, Stanislav [VerfasserIn]
• Titel: Results of the Gore Bio-A fistula plug implantation in the treatment of anal fistula
• Titelzusatz: a multicentre study
• Verf.angabe: 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
• E-Jahr: 2016
• Jahr: 14 July 2016
• Umfang: 6 S.
• Fussnoten: Gesehen am 06.08.2019
• Titel Quelle: Enthalten in: Techniques in coloproctology
• Ort Quelle: Milano : Springer Italia, 1999
• Jahr Quelle: 2016
• Band/Heft Quelle: 20(2016), 8, Seite 585-590
• ISSN Quelle: 1128-045X
• DOI: doi:10.1007/s10151-016-1505-8
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Anal fistula
• Sach-SW: Anal fistula plug
• Sach-SW: Bioabsorbable plug
• K10plus-PPN: 1670686914

Abstract

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.