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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.