Evidence map›Paper›PMID 27418257›Full record

Observational studyTechniques in coloproctology2016

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 and 4 more

Abstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Techniques in coloproctology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Observational
  6. Long-Term Clinical Results of Use of an Anal Fistula Plug for Treatment of Low Trans-Sphincteric Anal Fistulas.Medical science monitor : international medical journal of experimental and clinical research · 2020
    Article
  7. Modern surgical strategies for perianal Crohn's disease.World journal of gastroenterology · 2020
    Review
  8. Review
  9. Evaluation of resorbable polydioxanone and polyglycolic acid meshes in a rat model of ventral hernia repair.Journal of biomedical materials research. Part B, Applied biomaterials · 2019
    Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 9 institutions in 3 countries.

A HeroldEnd- und Dickdarmzentrum, Mannheim, Germany.
A OmmerKlinik für Chirugie, Kliniken Essen-Mitte, Essen, Germany.
A FürstCaritas Krankenhaus, Regensburg, Germany.
F PakravanColoproktologisches Zentrum Düsseldorf, Düsseldorf, Germany.
D HahnloserKlinik für Viszeralchirurgie, Universitäts-Spital, Zurich, Switzerland.
B StrittmatterPraxisklinik 2000, Freiburg, Germany.
T SchiedeckKlinik für Viszeralchirurgie, Klinikum Ludwigsburg, Ludwigsburg, Germany.
F HetzerKlinik für Chirurgie, Kantonsspital, Schaffhausen, Switzerland.
F AignerChirurgische Klinik Universität Innsbruck, Innsbruck, Austria.
E BergProsper Hospital, Recklinghausen, Germany.
M RoblickEnd- und Dickdarmzenrtum Hannover, Hannover, Germany.
D BussenEnd- und Dickdarmzentrum, Mannheim, Germany.
A JoosEnd- und Dickdarmzentrum, Mannheim, Germany.
S VershenyaDepartment of Surgery, University Medical Centre Mannheim, Medical Faculty Mannheim of the University of Heidelberg, Mannheim, Germany. stanislav.vershenya@umm.de.
Caritas-Krankenhaus St. Josef · DEHeidelberg University · DEKliniken Essen-Mitte · DEKlinikum Ludwigsburg · DEOrthopädische Praxis · DEProsper Hospital · DESee-Spital · CHSpitäler Schaffhausen · CHUniversität Innsbruck · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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

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

resultsThe 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.

conclusionsSynthetic 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.

Indexed as

Absorbable ImplantsProsthesis ImplantationAdultCutaneous FistulaDioxanesFemaleFollow-Up StudiesHumansLength of StayMaleMiddle AgedOperative TimePolyglycolic AcidProspective StudiesProsthesis FailureRectal FistulaDioxanesPolyglycolic Acidtrimethylene carbonateAnal fistulaAnal fistula plugBioabsorbable plug

Identifiers

PMID27418257
OpenAlexW2460962156

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.