Techniques in Coloproctology

, Volume 20, Issue 8, pp 585–590 | Cite as

Results of the Gore Bio-A fistula plug implantation in the treatment of anal fistula: a multicentre study

  • A. Herold
  • A. Ommer
  • A. Fürst
  • F. Pakravan
  • D. Hahnloser
  • B. Strittmatter
  • T. Schiedeck
  • F. Hetzer
  • F. Aigner
  • E. Berg
  • M. Roblick
  • D. Bussen
  • A. Joos
  • S. VershenyaEmail author
Original Article



The aim of this prospective study was to determine the efficiency of the Gore Bio-A synthetic plug in the treatment of anal fistulas.


A synthetic bioabsorbable anal fistula plug was implanted in 60 patients. All fistulas were transsphincteric and cryptoglandular in origin.


The healing rate after 1 year of follow-up was 52 % (31 out of 60 patients). No patient was lost to follow-up. The treatment had no effect on the incontinence score. The plug dislodgement rate was 10 % (6 out of 60 patients). Thirty-four per cent of the patients (16 out of 47) required reoperation. The average operating time was 32 ± 10.2 min, and the average length of hospital stay was 3.3 ± 1.8 days.


Synthetic plugs may be an alternative to bioprosthetic fistula plugs in the treatment of transsphincteric anal fistulas. This method might have better success rates than treatment with bioprosthetic fistula plugs.


Anal fistula Anal fistula plug Bioabsorbable plug 



All plugs were supplied by W.L. Gore Corporation. We wish to acknowledge all participating centres: End- und Dickdarm-Zentrum Hannover, Germany; Caritas Krankenhaus St. Josef Regensburg, Germany; Klinik für Viszeralchirurgie, Universitäts-Spital, Zürich, Switzerland; Coloproktologisches Zentrum Düsseldorf, Germany; Klinik für Viszeralchirurgie, Klinikum Ludwigsburg, Germany; Praxisklinik 2000 Freiburg, Germany; Prosper Hospital Recklinghausen, Germany; Chirurgische Klinik Universität Innsbruck, Austria; Klinik für Chirugie, Kliniken Essen-Mitte, Germany End- und Dickdarmzentrum Mannheim, Germany and Klinik für Chirurgie, Kantonsspital, Schaffhausen, Switzerland.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all participants included in the study.


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Copyright information

© Springer-Verlag Italia Srl 2016

Authors and Affiliations

  • A. Herold
    • 1
  • A. Ommer
    • 2
  • A. Fürst
    • 3
  • F. Pakravan
    • 4
  • D. Hahnloser
    • 5
  • B. Strittmatter
    • 6
  • T. Schiedeck
    • 7
  • F. Hetzer
    • 8
  • F. Aigner
    • 9
  • E. Berg
    • 10
  • M. Roblick
    • 11
  • D. Bussen
    • 1
  • A. Joos
    • 1
  • S. Vershenya
    • 12
    Email author
  1. 1.End- und DickdarmzentrumMannheimGermany
  2. 2.Klinik für Chirugie, Kliniken Essen-MitteEssenGermany
  3. 3.Caritas KrankenhausRegensburgGermany
  4. 4.Coloproktologisches Zentrum DüsseldorfDüsseldorfGermany
  5. 5.Klinik für Viszeralchirurgie, Universitäts-SpitalZurichSwitzerland
  6. 6.Praxisklinik 2000FreiburgGermany
  7. 7.Klinik für Viszeralchirurgie, Klinikum LudwigsburgLudwigsburgGermany
  8. 8.Klinik für Chirurgie, KantonsspitalSchaffhausenSwitzerland
  9. 9.Chirurgische Klinik Universität InnsbruckInnsbruckAustria
  10. 10.Prosper HospitalRecklinghausenGermany
  11. 11.End- und Dickdarmzenrtum HannoverHannoverGermany
  12. 12.Department of Surgery, University Medical Centre MannheimMedical Faculty Mannheim of the University of HeidelbergMannheimGermany

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