Suturable biomaterial offers more staying power than fibrin glue.Sphincter-saving procedure minimizes risk for postoperative incontinence.High percentage of success and greater efficacy shown from early use.Early clinical results for the anal fistula plug show significant improvement over conventional treatments: When the AFP is implanted, host tissue cells and blood vessels colonize the “graft.” In essence, the plug provides a scaffold or matrix for the patient's connective tissue growth. The AFP provides an innovative yet simple treatment. With the AFP, the fistula tract is repaired without cutting the sphincter muscle thus, the risk of incontinence is minimized. The plug is placed by drawing it through the fistula tract and suturing it in place. The AFP is a conical device made of a natural biomaterial that supports tissue healing.
This repair is a unique alternative to traditional fistula surgery. This has made the need for the development of alternative treatments an important step in optimizing patient care.Īt Stony Brook, our colorectal service performs the new minimally invasive repair of anal fistula by means of the anal fistula plug (AFP). Incontinence resulting from partial division or loss of the sphincter muscle is a possible complication of fistula surgery. This surgery usually involves cutting a portion of the anal sphincter muscle in order to unroof the tunnel, thereby joining the external and internal opening(s) and converting the tunnel into a groove that will then heal from within outward. Although the conventional form of fistula surgery is usually relatively straightforward, the potential for complication exists. Traditionally, surgical intervention is required for anal fistula repair. They also occur in people with diverticulitis, cancer, or an anal/rectal injury. These fistulas tend to occur more frequently in men than in women, and also in people with Crohn’s disease or tuberculosis. They may cause pain and discharge, and are often associated with abscesses that, when infected, may produce systemic symptoms.
ANAL INCONTINENCE WITH AN ANAL TUNNEL PLUG SKIN
Anal fistulas are abnormal tunnels from the anus or rectum usually to the skin near the anus but occasionally to another organ.
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