Abstract
Purpose To analyse preliminary experience and outcomes with the Cook
Surgisis® AFPTM anal fistula plug 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 was 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
37%. For those with a Crohn’s fistula the success rate was 33% and 35%
for a cryptoglandular aetiology.
Conclusion This series demonstrates the longest follow-up with 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.
Surgisis® AFPTM anal fistula plug 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 was 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
37%. For those with a Crohn’s fistula the success rate was 33% and 35%
for a cryptoglandular aetiology.
Conclusion This series demonstrates the longest follow-up with 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.
| Original language | English |
|---|---|
| Pages (from-to) | A245-A245 |
| Number of pages | 1 |
| Journal | Journal of Gastroenterology and Hepatology (Australia) |
| Volume | 24 |
| Issue number | Supplement s2 |
| DOIs | |
| Publication status | Published - Oct 2009 |
| Externally published | Yes |
| Event | Australia & New Zealand Medical & Surgical Gastrointestinal Week 2009 - Sydney Convention & Exhibition Centre, Sydney, Australia Duration: 21 Oct 2009 → 24 Oct 2009 |