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首页> 外文期刊>Techniques in coloproctology >Initial experience of treating anal fistula with the Surgisis anal fistula plug.
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Initial experience of treating anal fistula with the Surgisis anal fistula plug.

机译：Surgisis肛瘘塞治疗肛瘘的初步经验。

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Complex anal fistulas remain a challenge for the colorectal surgeon. The anal fistula plug has been developed as a simple treatment for fistula-in-ano. We present and evaluate our experience with the Surgisis anal fistula plug from two centres.Data were prospectively collected and analysed from consecutive patients undergoing insertion of a fistula plug between January 2007 and October 2009. Fistula plugs were inserted according to a standard protocol. Data collected included patient demographics, fistula characteristics and postoperative outcome.Forty-four patients underwent insertion of 62 plugs (27 males, mean age 45.6?years), 25 of whom had prior fistula surgery. Mean follow-up was 10.5?months Twenty-two patients (50%) had successful healing following the insertion of plug with an overall success rate of 23 out of 62 plugs inserted (35%). Nineteen out of 29 patients healed following first-time plug placement, whereas repeated plug placement was successful in 3 out of 15 patients (20%; p?=?0.0097). There was a statistically significant difference in the healing rate between patients who had one or less operations prior to plug insertion (i.e. simple fistulas) compared with patients who needed multiple operations (18 out of 24 patients vs. 4 out of 20 patients; p?=?0.0007).Success of treatment with the Surgisis anal fistula plug relies on the eradication of sepsis prior to plug placement. Plugs inserted into simple tracts have a higher success rate, and recurrent insertion of plugs following previous plug failure is less likely to be successful. We suggest the fistula plug should remain a first-line treatment for primary surgery and simple tracts.
机译：复杂的肛瘘仍然是结直肠外科医师的挑战。肛门瘘塞已被开发为一种用于肛瘘的简单治疗方法。我们介绍并评估了我们在两个中心使用Surgisis肛瘘插塞的经验。前瞻性收集并分析了2007年1月至2009年10月间连续进行瘘插塞手术的患者的数据。根据标准方案插入了瘘插塞。收集的数据包括患者的人口统计学，瘘管特征和术后结果。44例患者接受了62例塞子的插入（27例男性，平均年龄45.6岁），其中25例曾做过瘘管手术。平均随访时间为10.5个月。22例患者（50％）在插入栓塞后成功治愈，在62例栓塞（35％）中，总成功率为23例。 29例患者中有19例在初次插塞后he愈，而15例患者中有3例重复插塞成功（20％; p = 0.0097）。与需要多次手术的患者相比，在插栓之前进行了一次或以下手术（即简单的瘘管）的患者之间的治愈率在统计学上有显着差异（24名患者中的18名与20名患者中的4名; p？ =？0.0007）。使用Surgisis肛瘘塞治疗的成功取决于在放置塞子之前根除败血症。将插塞插入简单的区域的成功率更高，并且先前插塞失效后再次插入插塞的成功可能性较小。我们建议瘘管栓塞应继续作为一线手术和简单道的一线治疗。

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