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- Title
Tratamiento de fístulas perianales complejas mediante tapón de colágeno piramidal. ¿En la geometría está la solución?
- Authors
Canelles Corell, Enrique; Landete Molina, Francisco Javier
- Abstract
Introduction: Complex perianal fistulas continue to be a real therapeutic challenge today, given the absence of universal therapy and long-term results, since the percentage of complications or recurrences is not negligible. Among the therapeutic options we find biological plugs, being respectful with the sphincters but with disparate results. Aim: To evaluate the long-term results after the placement of a pyramidal collagen plug in two patients with complex perianal fistula. Materials and Method: We present two patients with complex perianal fistula who were operated on by placing a biological plug, meeting strict inclusion criteria. Discussion: Within the therapeutic arsenal currently available, biological plugs promise a definitive solution for certain perianal fistulas, avoiding possible incontinence. With different results in the literature, in our two cases the patients have evolved excellently, with complete resolution of the fistulous disease without complications or long-term recurrence. Conclusions: Considering the exceptional results obtained in our first two cases with this type of plug, we wonder if its morphology can be a determining factor in its success.
- Publication
Revista de Cirugia, 2022, Vol 74, Issue 2, p197
- ISSN
2452-4557
- Publication type
Article
- DOI
10.35687/s2452-454920220021389