European Journal of Cardiovascular Medicine

Ideal surgical treatment for anal fistula should aim to eradicate sepsis and promote healing of the tract, whilst preserving the sphincters and the mechanism of continence. the more complex fistulae where a significant proportion of the anal sphincter is involved, great concern remains about damaging the sphincter and subsequent poor functional outcome, which is quite inevitable following conventional surgical treatment. The anal fistula plug, derived from porcine small intestinal submucosa, is safe but modestly effective in long-term follow-up, with success rates varying from 24%-88%. The failure rate may be due to its extrusion from the fistula tract. Introduction: It is a granulomatous tract, single, or multiple external openings, which connects perianal skin to the epithelium of the anal canal or rectum.  Aims and Objective: The objective of the study was to assess the role and benefits of the fistula plug technique (modified seton placement) using absorbable sutures in the treatment of fistula-in-ano. Materials and Methods: This prospective clinical study was carried out on 50 patients between March 2019 and February 2021 Results: most of the patients were in the age group of 20–40 years (52.0%) with male preponderance (82%). The majority of the patients 37 (74.0%) showed recurrence at 1-year follow-up. Post-operative wound infection was seen in 24.0% of patients. Intersphincteric fistula was seen in 60.0%. No complications such as anal stenosis or incontinence were seen in our study subject. Conclusion: It is a very good alternative in cases of anal fistula. However, this technique has the vast disadvantage of a high incidence of recurrence and it cannot be used as a permanent alternative to surgery.