Anal fistula (AF) is a pathological connection between anus and skin in its surroundings. The main reason for the formation of
anal fistula is a bacterial infection of the glands within the anal crypts. One of the modern techniques for the treatment of fistulas
that do not interfere with the sphincters consists in implantation of a plug made from collagen material. We are presenting the
first Polish experience with a new model of biomaterial plug for the treatment of anal fistula. We also point out key elements of
the procedure (both preoperative and intraoperative) associated with this method. In the authors’ opinion, the method is simple,
safe and reproducible. Innovative shape of the plug minimizes the risk of its migration and rotation. It also perfectly blends with
and adapts to the course and shape of the fistula canal, allowing it to become incorporated and overgrown with tissue in the fistula
canal. The relatively short operation time, minor postoperative pain and faster convalescence are with no doubt additional
advantages of the method. Long-term observation involving more patients is essential for evaluation of the efficacy of the treatment
of fistulas with the new type of plug.
Anorectal Motility and Life Quality After Conventional Versus Sphincter Sparing Anal Fistula Treatment
