Anal fistula, closure with Anal Fistula Plug® (AFP®)

  1. Excising the fistula opening

    Video
    Excising the fistula opening

    Verify the indication by probing the fistula, then sparingly excise the external opening of the fistula. Follow this by flushing the fistula tract.

  2. Inserting the plug

    Video
    Inserting the plug

    Insert a stay suture. Pull the tapered end of the AFP attached to the stay suture into the tract through the internal opening and the tract to the outside. Keep the plug under slight tension until it is firmly seated in the lumen of the fistula. Trim the internal excess such that the plug is flush with the mucosa.

Anchoring the plug

Anchor the plug, usually with 2 PDS sutures (3-0 or 2-0) through the internal sphincter or muscular

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