Document Detail

Plugs unplugged. Anal fistula plug: the Concord experience.
MedLine Citation:
PMID:  20557508     Owner:  NLM     Status:  MEDLINE    
PURPOSE: The purpose of this study was to analyse preliminary experience and outcomes with the Cook Surgisis AFP anal fistula plug (Cook Medical, Bloomington, IN, USA) with respect to the treatment of complex anal fistulae in a specialist colorectal unit. METHODS: Data on all patients who were treated with the Surgisis AFP between October 2006 and January 2009 were retrospectively reviewed. The plug was placed in accordance with the Cook guidelines. Successful closure of the anal fistula was defined as absence of drainage at final follow-up with no subsequent abscess formation or further intervention required. RESULTS: Thirty-two patients underwent a total of 35 anal fistula plug insertion procedures. No patients were lost to follow-up. The median follow-up was 15 months (2-29 months). The overall success rate was 13 out of 35 (37%). For those in the subgroups of Crohn's disease and cryptoglandular disease, the success rate was 1 out of 3 (33%) and 11 out of 31 (35%), respectively. CONCLUSION: This series demonstrates a success rate for the Cook Surgisis AFP of 37%. These results in patients managed in a specialist unit confirm that the Surgisis AFP is a useful option in the management of complex fistulae.
Gareth Owen; Anil Keshava; Peter Stewart; James Patterson; Pierre Chapuis; Elie Bokey; Matthew Rickard
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  ANZ journal of surgery     Volume:  80     ISSN:  1445-2197     ISO Abbreviation:  ANZ J Surg     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-06-18     Completed Date:  2010-10-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101086634     Medline TA:  ANZ J Surg     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  341-3     Citation Subset:  IM    
Department of Colorectal Surgery, Concord Repatriation General Hospital, Hospital Road, Concord, NSW 2139, Australia.
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MeSH Terms
Cohort Studies
Equipment Design
Middle Aged
Rectal Fistula / etiology,  pathology,  therapy*
Retrospective Studies
Suture Techniques
Tampons, Surgical*
Treatment Outcome
Wound Healing
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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