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Challenge:
Optimizing the success of sphincter-preserving anal fistula repair


Choice:
GORE® BIO-A® Fistula Plug

For the repair of anorectal fistulas, fistula plugs can often be used as a successful alternative to fistulotomy, fistulectomy, and other invasive procedures. Fistula repairs using a plug avoid dividing the sphincter muscles, thereby reducing the risk of incontinence. The fistula plug provides a scaffold for soft tissue repair and facilitates closure of the fistula. However, failures can occur due to dislodgment of the plug from the fistula tract.

GORE® BIO-A® Fistula Plug helps surgeons to optimize the operative success of sphincter-preserving anal fistula repair. Its patented design enables robust device placement; the plug is engineered to conform to the fistula tract—reducing the potential for failure due to fall-out. A single plug configuration is tailorable to fit most fistula shapes and sizes.

The GORE® BIO-A® Fistula Plug incorporates a proven, 100% synthetic bioabsorbable scaffold facilitating tissue generation and healing. PGA:TMC fibers form a non-woven web with open, highly interconnected pores. Cells migrate into the scaffold and tissue is generated as the body gradually absorbs the material, leaving no permanent material in the body.



Latest Procedural Video
Treatment of Anal Fistulas with GORE® BIO-A® Fistula Plug -- Afshin Heydari, MD

A study by Afshin Heydari, MD, (Diseases of the Colon & Rectum 2013;56(6):774-779) shows a healing rate of 69.3% for patients with cryptoglandular anal fistulas. View this video to see his techniques.

Interview with Herand Abcarian, MD

Dr. Herand Abcarian, Professor of Surgery Division of Colon and Rectal Surgery at University of Illinois at Chicago, discusses the benefits of using the GORE® BIO-A® Fistula Plug in the treatment of transsphicteric anal fistulas.