International journal of colorectal disease · 2010
Porcine dermal collagen matrix injection may enhance flap repair surgery for complex anal fistula.
Клиническое исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Sileri Pierpaolo, Franceschilli Luana, Del Vecchio Blanco Giovanna, Stolfi Vito M, Angelucci Giulio P, Gaspari Achille L
Аннотация
INTRODUCTION: The use of biomaterials to treat anal fistula has drawn great interest. More recently, a porcine dermal matrix injection has been proposed as infill biomaterial to treat fistulas.
METHODS: We propose a novel approach consisting in non-cutting seton positioning followed by flap repair associated with dermal matrix injection into the fistula tracts after several weeks.
RESULTS: We report our experience with this two-staged procedure on 11 consecutive patients with recurrent high trans-sphincteric fistulas with a minimum follow-up of 6 months.
CONCLUSIONS: In our experience, this two-stage approach seems to be safe and effective.
METHODS: We propose a novel approach consisting in non-cutting seton positioning followed by flap repair associated with dermal matrix injection into the fistula tracts after several weeks.
RESULTS: We report our experience with this two-staged procedure on 11 consecutive patients with recurrent high trans-sphincteric fistulas with a minimum follow-up of 6 months.
CONCLUSIONS: In our experience, this two-stage approach seems to be safe and effective.