| Anal fistula plug is a valid alternative option for the treatment of complex anal fistula in the long term. | |
| | |
MedLine Citation:
|
PMID: 20556403 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
OBJECTIVE: This prospective, two-centre study was designed to evaluate long-term outcomes when using a collagen plug to treat cryptoglandular anal fistulae. MATERIALS AND METHOD: Over 3 years, 60 consecutive patients with cryptoglandular fistulae were treated using an anal fistula plug by experienced surgeons. Preoperative, postoperative and follow-up data were collected in a dedicated database. Success was defined as the closure of all fistula openings and the absence of discharge. Faecal incontinence scores were administered at baseline and at 6 months follow-up. RESULTS: Eleven patients had multiple fistula tracts. All fistulae treated in this series were classified as complex. Seventeen fistulae were anterior tracts in females, and the remaining tracts were trans-sphincteric in nature. Thirty-eight tracts were recurrent. Mean operative time was 26 ± 10 min. No major complications, active sepsis or mortality were observed. Success rate with a mean follow-up of 13 months was 60% of patients and 70% of tracts. Mean time for recurrence was 5.7 months. Two recurrent patients were successfully treated with a redo plug procedure, and five were successfully closed with a post-plug fistulotomy, leading to a global 72% success rate without continence impairment. Of the patients with a minimum follow-up of 6 months (mean, 18.5 months; range, 6-34 months), 29 in 32 (90.6%) were healed at final evaluation. In these patients, the mean preoperative CCF incontinence score was 0.73. This was reduced to 0.14 at 6-month follow-up. The mean reduction of CCF incontinence score was -0.6 (95% CI, 1.3 to -0.1; p = 0.01). CONCLUSION: Fistula tract treatment with the anal fistula plug is a safe and viable surgical option that should be offered to complex fistula patients. The reasons and risk factors for recurrence remain to be explored. |
| | |
Authors:
|
Leonardo Lenisa; Eloy Espìn-Basany; Andrea Rusconi; Luigi Mascheroni; Jordi Escoll-Rufino; Roberto Lozoya-Trujillo; Francesc Vallribera-Valls; Jacques Mégevand |
Related Documents
:
|
1999133 - Hemorrhoidectomy during pregnancy: risk or relief? 2736113 - Results of surgery for cancer of the rectum with sphincter conservation. a randomized s... 343483 - Haemophilus influenzae meningitis. a comparison between chloramphenicol and ampicillin ... |
Publication Detail:
|
Type: Journal Article Date: 2010-06-17 |
Journal Detail:
|
Title: International journal of colorectal disease Volume: 25 ISSN: 1432-1262 ISO Abbreviation: Int J Colorectal Dis Publication Date: 2010 Dec |
Date Detail:
|
Created Date: 2010-11-05 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8607899 Medline TA: Int J Colorectal Dis Country: Germany |
Other Details:
|
Languages: eng Pagination: 1487-93 Citation Subset: IM |
Affiliation:
|
Surgery Unit, Casa di Cura San Pio X, Via Francesco Nava, 31, 20159, Milan, Italy. leonardo_lenisa@lycos.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Proctalgia fugax, an evidence-based management pathway.
Next Document: TGF-beta1 improves cardiac performance via up-regulation of laminin receptor 37/67 in adult ventricu...