Verification of the indication by probing the fistula, then conservative excision of the external fistula opening. Subsequently, irrigation of the fistula tract.
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Excision of the fistula opening
![Excision of the fistula opening]()
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Insertion of the plug
![Insertion of the plug]()
A guide thread is introduced. With the help of the thread, the AFP is pulled in a forward direction. Gentle traction until the plug is well stabilized in the fistula lumen. Shorten the internal excess so that the plug ends at the mucosal level.
Fixation of the plug
Fixation of the plug with usually 2 PDS sutures (3×0 or 2×0) in the internus or the muscu
Fixation of the plug with usually 2 PDS sutures (3×0 or 2×0) in the internus or the muscu
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