Reconsideration on the value of biomaterials in the treatment of anal fistulas
The implantation of biomaterials to fill fistula tracts is a significant method for preserving the sphincter during anal fistula surgery. Procedures such as anal fistula plug implantation and BioLIFT have shown good results over the past 20 years. However, recent clinical outcomes have been less sat...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | Chinese |
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Editorial Office of Journal of Colorectal & Anal Surgery
2022-12-01
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| Series: | 结直肠肛门外科 |
| Subjects: | |
| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=320&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC6%E6%9C%9F |
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| _version_ | 1839641900102975488 |
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| author | Cao Jiawei Lu Meijuan Su Dan Xiang Xiaoqiang Zhu Peixuan Ren Donglin |
| author_facet | Cao Jiawei Lu Meijuan Su Dan Xiang Xiaoqiang Zhu Peixuan Ren Donglin |
| author_sort | Cao Jiawei |
| collection | DOAJ |
| description | The implantation of biomaterials to fill fistula tracts is a significant method for preserving the sphincter during anal fistula surgery. Procedures such as anal fistula plug implantation and BioLIFT have shown good results over the past 20 years. However, recent clinical outcomes have been less satisfactory, with a cure rate of less than 50% and high economic costs, leading many guidelines to not recommend biomaterial implantation as a first-line treatment for anal fistulas. Given the demand for sphincter-preserving techniques in various scenarios, surgeons are re-evaluating the scientific basis of using biomaterials to promote fistula healing. Is there an inherent superiority in the materials themselves? Are the variations in cure rates related to differences in indications, surgical techniques, postoperative care, and other factors? This paper systematically reviews and analyzes these issues. |
| format | Article |
| id | doaj-art-a7f3d8ab40b1496e9e396c94d99e87c6 |
| institution | Matheson Library |
| issn | 1674-0491 |
| language | zho |
| publishDate | 2022-12-01 |
| publisher | Editorial Office of Journal of Colorectal & Anal Surgery |
| record_format | Article |
| series | 结直肠肛门外科 |
| spelling | doaj-art-a7f3d8ab40b1496e9e396c94d99e87c62025-07-03T02:12:39ZzhoEditorial Office of Journal of Colorectal & Anal Surgery结直肠肛门外科1674-04912022-12-0128654154610.19668/j.cnki.issn1674-0491.2022.06.004Reconsideration on the value of biomaterials in the treatment of anal fistulasCao Jiawei0Lu Meijuan1Su Dan2Xiang Xiaoqiang3Zhu Peixuan4Ren Donglin5Department of Anorectal Surgery, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510655, ChinaQianhai Life Guangzhou General Hospital, Guangzhou, Guangdong 511325, ChinaDepartment of Anorectal Surgery, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510655, ChinaShaanxi Provincial Medical Device Association, Xi'an, Shaanxi 710076, ChinaQianhai Life Guangzhou General Hospital, Guangzhou, Guangdong 511325, ChinaDepartment of Anorectal Surgery, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510655, ChinaThe implantation of biomaterials to fill fistula tracts is a significant method for preserving the sphincter during anal fistula surgery. Procedures such as anal fistula plug implantation and BioLIFT have shown good results over the past 20 years. However, recent clinical outcomes have been less satisfactory, with a cure rate of less than 50% and high economic costs, leading many guidelines to not recommend biomaterial implantation as a first-line treatment for anal fistulas. Given the demand for sphincter-preserving techniques in various scenarios, surgeons are re-evaluating the scientific basis of using biomaterials to promote fistula healing. Is there an inherent superiority in the materials themselves? Are the variations in cure rates related to differences in indications, surgical techniques, postoperative care, and other factors? This paper systematically reviews and analyzes these issues.https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=320&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC6%E6%9C%9Fanal fistula plugbiomaterialsanal fistula surgery |
| spellingShingle | Cao Jiawei Lu Meijuan Su Dan Xiang Xiaoqiang Zhu Peixuan Ren Donglin Reconsideration on the value of biomaterials in the treatment of anal fistulas 结直肠肛门外科 anal fistula plug biomaterials anal fistula surgery |
| title | Reconsideration on the value of biomaterials in the treatment of anal fistulas |
| title_full | Reconsideration on the value of biomaterials in the treatment of anal fistulas |
| title_fullStr | Reconsideration on the value of biomaterials in the treatment of anal fistulas |
| title_full_unstemmed | Reconsideration on the value of biomaterials in the treatment of anal fistulas |
| title_short | Reconsideration on the value of biomaterials in the treatment of anal fistulas |
| title_sort | reconsideration on the value of biomaterials in the treatment of anal fistulas |
| topic | anal fistula plug biomaterials anal fistula surgery |
| url | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=320&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC6%E6%9C%9F |
| work_keys_str_mv | AT caojiawei reconsiderationonthevalueofbiomaterialsinthetreatmentofanalfistulas AT lumeijuan reconsiderationonthevalueofbiomaterialsinthetreatmentofanalfistulas AT sudan reconsiderationonthevalueofbiomaterialsinthetreatmentofanalfistulas AT xiangxiaoqiang reconsiderationonthevalueofbiomaterialsinthetreatmentofanalfistulas AT zhupeixuan reconsiderationonthevalueofbiomaterialsinthetreatmentofanalfistulas AT rendonglin reconsiderationonthevalueofbiomaterialsinthetreatmentofanalfistulas |