Introduction: High transsphincteric fistulas are difficult to treat because fistulotomy of involved sphincter muscle results in incontinence. We compare our outcomes for anal fistula plug, fibrin glue, advancement flap closure, and seton drain insertion. Methods: This is a retrospective study of patients treated for high transsphincteric anal fistulas. The primary outcome was full healing at 12 weeks postoperatively. Results: Between and , patients with anal fistula were identified in the St.
Anal fistula plug and fibrin glue versus conventional treatment in repair of complex anal fistulas
Performing Anal Fistula Repair with New Minimally Invasive Anal Fistula Plug | Stony Brook Medicine
Anal fistulas are abnormal tunnels from the anus or rectum usually to the skin near the anus but occasionally to another organ. They may cause pain and discharge, and are often associated with abscesses that, when infected, may produce systemic symptoms. Traditionally, surgical intervention is required for anal fistula repair. Although the conventional form of fistula surgery is usually relatively straightforward, the potential for complication exists. This surgery usually involves cutting a portion of the anal sphincter muscle in order to unroof the tunnel, thereby joining the external and internal opening s and converting the tunnel into a groove that will then heal from within outward.
Metrics details. Surgery for fistula in ano is associated with anal incontinence. The biologic anal fistula plug AFP can minimize this. This is a retrospective analysis of patients with cryptoglandular anorectal fistulae, who underwent a surgical procedure using AFP. Each primary opening was occluded by using an AFP.
The surgical treatment of anal fistula is complex due to the possibility of fecal incontinence. Fistulotomy and cutting Setons have the same incidence of fecal incontinence depending on the complexity of the fistula. Sphincter-preserving procedures such as anal fistula plug and ligation of intersphincteric fistula tract procedure may result in more recurrence requiring repeated operations. The aim of this study was to evaluate and compare the outcomes of treating fistula in Ano utilizing two methods: Fistula plug Gore Bio-A and ligation of intersphincteric tract LIFT.