Treating anal fistula with the anal fistula plug: case series report of 12 patients
Journal Title: Electronic Physician - Year 2016, Vol 8, Issue 4
Abstract
INTRODUCTION: Recurrent and complex high fistulas remain a surgical challenge. This paper reports our experience with the anal fistula plug in patients with complex fistulas. METHODS: Data were collected prospectively and analyzed from consecutive patients undergoing insertion of a fistula plug from January 2011 through April 2014 at Hazrat-e-Rasoul Hospital in Tehran. We ensured that sepsis had been eradicated in all patients prior to placement of the plug. During surgery, a conical shaped collagen plug was pulled through the fistula tract. RESULTS: Twelve patients were included in this case study. All patients had previously undergone failed surgical therapy to cure their fistula and had previously-placed Setons. There were eight males and four females with an average age of 44 who were treated for complex fistulas. At a median time of follow-up of 22.7 months, 10 of the 12 patients had healed (83.3%). One patient developed an abscess that was noted on the sixth postoperative day, and there was one recurrence during follow-up. CONCLUSIONS: Fistula plugs are effective for the long-term closure of complex anal fistulas. Success of treatment with the fistula plug depends on the eradication of sepsis prior to plug placement
Authors and Affiliations
Saba RB, Tizmaghz A, Ajeka S, Karami M
Keywords
Related Articles
- EP ID EP324219
- DOI 10.19082/2303
- Views 79
- Downloads 0
Etiology of gastrointestinal bleeding in children referred to pediatric wards of Mashhad hospitals, Iran
BACKGROUND: Gastrointestinal (GI) bleeding, which has several clinical manifestation and origins, is known as one of the most life-threatening events in children. Several etiologies have been suggested for GI bleeding....
Information management flow for tele-homecare for the elderly; An emerging need for continuity of care
BACKGROUND AND OBJECTIVES: Tele-homecare methods can be used to provide home care for the elderly, if information management is provided. The aim of this study was to compare the places and methods of the data collection...
A multi-strain Synbiotic may reduce viral respiratory infections in asthmatic children: a randomized controlled trial
BACKGROUND AND OBJECTIVE: Asthma is a growing problem worldwide. Acute exacerbations impose considerable morbidity, mortality, and increased cost. Viral respiratory infections are the most common cause (80-85%) of pediat...
Analysis of equality in Iranian household healthcare payments during Iran’s fourth development program
INTRODUCTION: Today, the provision of healthcare should be efficient and equitable to achieve the health system's goals. The aim of this study was to survey equality in healthcare expenditures and its effects on income r...
The perceived stress and approach to learning effects on academic performance among Sudanese medical students
BACKGROUND: There is an increasing awareness of the perceived stress and approach to learning effects on academic achievement. OBJECTIVE: This study aimed to assess the educational environment and approach to learning i...