Procedural Area: Anal Fistula Repair

Advance to sphincter-sparing fistula repair.

The first device specifically designed for closing anal fistulas, the Biodesign Fistula Plug treats difficult fistulas without causing sphincter muscle damage that can lead to incontinence. With Biodesign, you can help your patients return to normal life, free from the pain and embarrassment fistulas can cause.

Biodesign is a natural scaffold that communicates with your patient's anatomy, signaling the body to close the gap on its own. And patients can experience relief of symptoms without lifelong discomfort and drainage.

Cook Medical–Designing simple solutions to treat difficult conditions.

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Features and benefits

  • Keeps sphincter intact to minimize postoperative incontinence.
  • Convenient cone shape fits most fistulas.
  • Provides added durability for suturing.
  • Available with button for ease of suturing and staying power.
  • Reduces immediate postoperative discomfort.

Tips

  • The Biodesign plug should fit snugly in the fistula tract.
  • Gently debride the fistula tract, being careful not to make the tract wider.
  • When suturing the primary opening, suture deep to the internal sphincter and pass through the center of the plug.
  • Do NOT suture closed the secondary (external) opening.
  • If infections or sepsis are present, place a seton and wait 6 to 8 weeks before placing the Biodesign plug.
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