Response to "Gore Bio-A® Fistula Plug for Complex Anal Fistula: The results should be interpreted cautiously"
Summary of "Response to "Gore Bio-A® Fistula Plug for Complex Anal Fistula: The results should be interpreted cautiously""
We are grateful for the possibility to reply the comments by Dr de la Portilla. We are conscious that 5 months, or 12 as affirmed by Dr de la Portilla, is sufficient to assess healing of an anal fistula, since intitial apparent success often diminishes with the time.1 However, in our pilot study2 , we adopted the recommendation provided by the 2007 Consensus Conference on Surgisis® AFP™ in which 3 months was the limit to consider the operation a failure.3 Moreover, we were able to make a very homogeneous selection of patients and a standardized technique of implantation and perioperative management. © 2013 The Authors. Colorectal Disease © 2013 The Association of Coloproctology of Great Britain and Ireland.
Department of Surgical Sciences, Catholic University, Rome, Italy.
This article was published in the following journal.
Name: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
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Medical and Biotech [MESH] Definitions
An abnormal anatomical passage between the INTESTINE, and another segment of the intestine or other organs. External intestinal fistula is connected to the SKIN (enterocutaneous fistula). Internal intestinal fistula can be connected to a number of organs, such as STOMACH (gastrocolic fistula), the BILIARY TRACT (cholecystoduodenal fistula), or the URINARY BLADDER of the URINARY TRACT (colovesical fistula). Risk factors include inflammatory processes, cancer, radiation treatment, and surgical misadventures (MEDICAL ERRORS).
An abnormal anatomical passage that connects the VAGINA to other organs, such as the bladder (VESICOVAGINAL FISTULA) or the rectum (RECTOVAGINAL FISTULA).
A fistula between the maxillary sinus and the oral cavity.
Abnormal passage communicating with the ESOPHAGUS. The most common type is TRACHEOESOPHAGEAL FISTULA between the esophagus and the TRACHEA.
A fistula between a salivary duct or gland and the cutaneous surface of the oral cavity.