Category - anal
moreover, in our subgroup analysis the use of fibrin glue in combination with intra-adhesive antibiotics does not improve the healing rate (p 0. 65), whereas the anal fistula plug treatment compared to the fibrin glue treatment shows good results (p 0,02), although the poor number of patients treated does not lead to any statistically evident conclusion. Treatment with fibrin glue is currently the only non-surgical option for anal fistulas. It involves the surgeon injecting a glue into the fistula while youre under a general anaesthetic. Pterygium excision with a conjunctival auto graft using fibrin glue. new sphincter-saving approaches have been applied in the treatment of perianal fistula in order to avoid the risk of fecal incontinence. Among them, the fibrin glue technique is popular because of its simplicity and repeatability. The aim of this review is to compare the fibrin glue application to surgery alone, considering the healing and complication rates. conclusions fibrin glue is simple to use, has a minimal morbidity and should not affect later treatment options in the event of its failure. It is therefore theoretically attractive as a first line treatment in the management of those types of anal fistula in which it has been shown to work. an anal fistulotomy is done to open and drain a fistula allowing it to heal. The procedure is performed not only to repair and prevent the recurrence of the anal fistula but also to protect the. purpose the aim of this study was to evaluate the long-term success and complication rate of fibrin-glue treatment of anal fistulas. Methods patients with an anal fistula presenting to a single surgeon over a three-year period were enrolled in this study. At their first operation, all 48 patients (2672 years old) underwent anoscopy, biopsy, destruction of the internal gland, and placement. Treatment of anal fistula with fibrin glue is a safe therapeutic option to preserve anal continence. Drainage with loose seton is most often necessary before gluing. The only non-surgical treatment for anal fistula that is currently in use is fibrin glue. This involves an injection of the glue into the fistulous tract to approximate the sides closely together. Fibrin glue or collagen plug in some cases, we repair fistulas by sealing them shut instead of cutting them open. After draining your fistula, we stitch the internal opening closed and seal the external opening with either special glue made from plasma protein (fibrin glue) or a plug made of collagen protein.