Surgical repair of complex anal fistulas has to achieve a balance between optimal primary healing and best preservation of continence. As traditional surgical techniques confer a risk of continence deterioration, innovative sphincter-preserving techniques have been introduced. A new study indicates that use of bioprosthetic plugs in the surgical treatment of complex anal fistulas is associated with a long-term success rate of 81%.
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References
Ellis, C. N., Rostas, J. W. & Greiner, F. G. Long-term outcomes with the use of bioprosthetic plugs for the management of complex anal fistulas. Dis. Colon Rectum 53, 798–802 (2010).
Champagne, B. J. et al. Efficacy of anal fistula plug in closure of cryptoglandular fistulas: long-term follow-up. Dis. Colon Rectum 49, 1817–1821 (2006).
O'Connor, L. M. et al. Efficacy of anal fistula plug in closure of Crohn's anorectal fistulas. Dis. Colon Rectum 49, 1569–1573 (2006).
Johnson, E. K., Gaw, J. U. & Armstrong, D. N. Efficacy of anal fistula plug vs. fibrin glue in closure of anorectal fistulas. Dis. Colon Rectum 49, 371–376 (2006).
Schwandner, O., Stadler, F., Dietl, O., Wirsching, R. P. & Fuerst, A. Initial experience on efficacy in closure of cryptoglandular and Crohn's transsphincteric fistulas by the use of the anal fistula plug. Int. J. Colorectal Dis. 23, 319–324 (2008).
Ellis, C. N. Bioprosthetic plugs for complex anal fistulas: an early experience. J. Surg. Educ. 64, 36–40 (2007).
Ky, A. J. et al. Collagen fistula plug for the treatment of anal fistulas. Dis. Colon Rectum 51, 838–843 (2008).
Safar, B et al. Anal fistula plug: initial experience and outcomes. Dis. Colon Rectum 52, 248–252 (2009).
Christoforidis, D., Pieh, M. C., Madoff, R. D. & Mellgren, A. F. Treatment of transsphincteric anal fistulas by endorectal advancement flap or collagen fistula plug: a comparative study. Dis. Colon Rectum 52, 18–22 (2009).
Ortiz, H. et al. Randomized clinical trial of anal fistula plug versus endorectal advancement flap for the treatment of high cryptoglandular fistula in ano. Br. J. Surg. 96, 608–612 (2009).
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Schwandner, O. Are bioprosthetic plugs for complex anal fistulas effective?. Nat Rev Gastroenterol Hepatol 7, 419–420 (2010). https://doi.org/10.1038/nrgastro.2010.110
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DOI: https://doi.org/10.1038/nrgastro.2010.110
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