P Garg1. 1. Department of General Surgery, Fortis Super-Specialty Hospital, Mohali, Chandigarh, India. drgargpankaj@yahoo.com
Abstract
OBJECTIVE: The aim of this study was to determine the efficacy of the anal fistula plug in the treatment of high fistula-in-ano. METHOD: Twenty-three patients with high cryptoglandular fistula-in-ano were prospectively studied over 1 year. The number of tracks, number of previous procedures and co-morbid conditions that could potentially affect outcome were noted. A seton was used to guide the AFP into the fistula track which was anchored at the primary opening. RESULTS: Two patients were lost to follow-up. Twenty-one patients (mean age was 49.8 years) were followed from 192 to 543 days (median = 292 days). Thirteen patients had single track, eight had multiple tracks and 14 had a recurrent fistula. Success, defined by closure of all fistula tracks occurred in 71.4% (15/21). The success rate was 84.6% in patients with a single fistula track (11/13) compared with 50% in patients with multiple tracks (4/8) (P = 0.14, Fisher's exact test). Recurrent [10/14 (71.4%)] vs nonrecurrent fistulae [5/7 (71.4%)] had no bearing on the outcome (P = 1.0). Two patients experienced healing despite extrusion of the plug in the early postoperative period. The procedure was safe and well tolerated. CONCLUSION: The Surgisis AFP was successful in 71.4% of patients. Plug extrusion does not necessarily mean failure.
OBJECTIVE: The aim of this study was to determine the efficacy of the anal fistula plug in the treatment of high fistula-in-ano. METHOD: Twenty-three patients with high cryptoglandular fistula-in-ano were prospectively studied over 1 year. The number of tracks, number of previous procedures and co-morbid conditions that could potentially affect outcome were noted. A seton was used to guide the AFP into the fistula track which was anchored at the primary opening. RESULTS: Two patients were lost to follow-up. Twenty-one patients (mean age was 49.8 years) were followed from 192 to 543 days (median = 292 days). Thirteen patients had single track, eight had multiple tracks and 14 had a recurrent fistula. Success, defined by closure of all fistula tracks occurred in 71.4% (15/21). The success rate was 84.6% in patients with a single fistula track (11/13) compared with 50% in patients with multiple tracks (4/8) (P = 0.14, Fisher's exact test). Recurrent [10/14 (71.4%)] vs nonrecurrent fistulae [5/7 (71.4%)] had no bearing on the outcome (P = 1.0). Two patients experienced healing despite extrusion of the plug in the early postoperative period. The procedure was safe and well tolerated. CONCLUSION: The Surgisis AFP was successful in 71.4% of patients. Plug extrusion does not necessarily mean failure.
Authors: J R Cintron; H Abcarian; V Chaudhry; M Singer; S Hunt; E Birnbaum; M G Mutch; J Fleshman Journal: Tech Coloproctol Date: 2012-09-28 Impact factor: 3.781
Authors: Andreas Ommer; Alexander Herold; Eugen Berg; Alois Fürst; Marco Sailer; Thomas Schiedeck Journal: Dtsch Arztebl Int Date: 2011-10-21 Impact factor: 5.594
Authors: S Chan; J McCullough; A Schizas; P Vasas; A Engledow; A Windsor; A Williams; C R Cohen Journal: Tech Coloproctol Date: 2012-04-18 Impact factor: 3.781
Authors: A J H M Machielsen; N Iqbal; M L Kimman; K Sahnan; S O Adegbola; G Kane; R Woodcock; J Kleijnen; U Grossi; S O Breukink; P J Tozer Journal: Tech Coloproctol Date: 2021-05-08 Impact factor: 3.781