title: Results of the Gore Bio-A fistula plug implantation in the treatment of anal fistula: a multicentre study.
abstract: BACKGROUND
  The aim of this prospective study was to determine the efficiency of the Gore Bio-A synthetic plug in the treatment of anal fistulas.
  
  
  METHODS
  A synthetic bioabsorbable anal fistula plug was implanted in 60 patients. All fistulas were transsphincteric and cryptoglandular in origin.
  
  
  RESULTS
  The healing rate after 1 year of follow-up was 52 % (31 out of 60 patients). No patient was lost to follow-up. The treatment had no effect on the incontinence score. The plug dislodgement rate was 10 % (6 out of 60 patients). Thirty-four per cent of the patients (16 out of 47) required reoperation. The average operating time was 32 ± 10.2 min, and the average length of hospital stay was 3.3 ± 1.8 days.
  
  
  CONCLUSIONS
  Synthetic plugs may be an alternative to bioprosthetic fistula plugs in the treatment of transsphincteric anal fistulas. This method might have better success rates than treatment with bioprosthetic fistula plugs.
authors.affiliation: End- und Dickdarmzentrum, Mannheim, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Herold
authors.affiliation: Klinik für Chirugie, Kliniken Essen-Mitte, Essen, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Ommer
authors.affiliation: Caritas Krankenhaus, Regensburg, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Fürst
authors.affiliation: Coloproktologisches Zentrum Düsseldorf, Düsseldorf, Germany.
authors.forename: F
authors.initials: F
authors.lastname: Pakravan
authors.affiliation: Klinik für Viszeralchirurgie, Universitäts-Spital, Zurich, Switzerland.
authors.forename: D
authors.initials: D
authors.lastname: Hahnloser
authors.affiliation: Praxisklinik 2000, Freiburg, Germany.
authors.forename: B
authors.initials: B
authors.lastname: Strittmatter
authors.affiliation: Klinik für Viszeralchirurgie, Klinikum Ludwigsburg, Ludwigsburg, Germany.
authors.forename: T
authors.initials: T
authors.lastname: Schiedeck
authors.affiliation: Klinik für Chirurgie, Kantonsspital, Schaffhausen, Switzerland.
authors.forename: F
authors.initials: F
authors.lastname: Hetzer
authors.affiliation: Chirurgische Klinik Universität Innsbruck, Innsbruck, Austria.
authors.forename: F
authors.initials: F
authors.lastname: Aigner
authors.affiliation: Prosper Hospital, Recklinghausen, Germany.
authors.forename: E
authors.initials: E
authors.lastname: Berg
authors.affiliation: End- und Dickdarmzenrtum Hannover, Hannover, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Roblick
authors.affiliation: End- und Dickdarmzentrum, Mannheim, Germany.
authors.forename: D
authors.initials: D
authors.lastname: Bussen
authors.affiliation: End- und Dickdarmzentrum, Mannheim, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Joos
authors.affiliation: Department of Surgery, University Medical Centre Mannheim, Medical Faculty Mannheim of the University of Heidelberg, Mannheim, Germany. stanislav.vershenya@umm.de.
authors.forename: S
authors.initials: S
authors.lastname: Vershenya
mesh_terms: D020341:Absorbable Implants; D000328:Adult; D017577:Cutaneous Fistula / Q000601:surgery*; D004146:Dioxanes; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011100:Polyglycolic Acid; D011446:Prospective Studies; D011475:Prosthesis Failure; D019919:Prosthesis Implantation; D012003:Rectal Fistula / Q000601:surgery*; D012086:Reoperation; D016896:Treatment Outcome; D014945:Wound Healing
chemical_list: D004146:Dioxanes; D011100:Polyglycolic Acid; C443643:trimethylene carbonate
keywords: Anal fistula; Anal fistula plug; Bioabsorbable plug