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Fibrin Glue and Collagen Plug

Although most of the cases of fistula requires surgery but, some cases can be sealed either with a special type of glue made from protein, or using a small plug made of collagen. The procedure is done without cutting the fistula tract. This new approach is becoming more and more common due to its sphincter-saving ability.
Indication for Fibrin glue and collagen plug
Fistulas involving sphincter muscles
Procedure:
The procedure starts with thorough clearing of the tract. The fistula tract is now irrigated and injected through the opening of the fistula either with fibrin glue or a decellularized porcine collagen plug. This is followed by stitching of the internal opening. Both are intended to occlude the fistula tract. Collagen plug serves as bioscaf-fold on which scar tissue may form.
Advantages of Fibrin Glue and Collagen Plug
Very low anal incontinence rate
Simple & minimally invasive procedure
Can be repeated
Minimal recovery time
Low complication rate

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