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International Journal of Colorectal Disease

Published in:

01-03-2011 | Original Article

Porcine dermal collagen matrix injection may enhance flap repair surgery for complex anal fistula

Authors: Pierpaolo Sileri, Luana Franceschilli, Giovanna Del Vecchio Blanco, Vito M. Stolfi, Giulio P. Angelucci, Achille L. Gaspari

Published in: International Journal of Colorectal Disease | Issue 3/2011

Abstract

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.

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Title: Porcine dermal collagen matrix injection may enhance flap repair surgery for complex anal fistula
Authors: Pierpaolo Sileri
Luana Franceschilli
Giovanna Del Vecchio Blanco
Vito M. Stolfi
Giulio P. Angelucci
Achille L. Gaspari
Publication date: 01-03-2011
Publisher: Springer-Verlag
Published in: International Journal of Colorectal Disease / Issue 3/2011
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-010-1066-7

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Porcine dermal collagen matrix injection may enhance flap repair surgery for complex anal fistula

Abstract

Introduction

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

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