Ovine Forestomach Matrix Implant for Surgical Management in Perianal Fistulas: A Retrospective Case-Series Article Swipe
Vinesh Anandarajan
,
Pranat Kumar
,
Kathryn Wells
,
John H. Choi
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-4607116/v1
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-4607116/v1
Background Surgical management of perianal fistula (PF) is complicated by a high rate of recurrence and risk of damage to the sphincter complex. Advances in surgical techniques and the use of traditional and biologic fistula plugs have demonstrated recent success. However, the need for minimally invasive, cost-effective techniques capable of lower recurrence rates still exists. Ovine forestomach matrix (OFM) is a biologic graft capable of regenerating healthy native tissue and was used for the surgical management in PFs in this study. Methods This retrospective case-series analyzed data collected from 25 patients at a single site treated with OFM for various perianal fistula subtypes as a key component of the surgical treatment algorithm. The primary outcome was healing status at 12 weeks. Secondary outcomes included time to complete closure, recurrence at follow-up intervals, and post-operative complications. Results The most common PF subtype was a trans-sphincteric fistula (72%) and of primary and cryptoglandular origin. Mean PF depth was 3.3 ± 1.6 cm with a 76% incidence of healing at 12-weeks and a median time to closure of 4.5 weeks (IQR: 4.0, 6.0). At last follow-up, 21 of 25 PFs were completely healed (84%) with one recurrence at a median follow-up time of 25 weeks (IQR: 15.5, 29.5). Eighty percent of patients reported no pain at post-operative follow-up. Conclusion OFM was found to be a safe, efficacious, and cost-effective treatment for the surgical management of perianal fistula. At last follow-up, OFM achieved successful closure with no recurrences using a median single device implantation.
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Metadata
- Type
- preprint
- Language
- en
- Landing Page
- http://doi.org/10.21203/rs.3.rs-4607116/v1
- OA Status
- gold
- References
- 39
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4400511901
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4400511901Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.21203/rs.3.rs-4607116/v1Digital Object Identifier
- Title
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Ovine Forestomach Matrix Implant for Surgical Management in Perianal Fistulas: A Retrospective Case-SeriesWork title
- Type
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preprintOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-07-10Full publication date if available
- Authors
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Vinesh Anandarajan, Pranat Kumar, Kathryn Wells, John H. ChoiList of authors in order
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https://doi.org/10.21203/rs.3.rs-4607116/v1Publisher landing page
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.21203/rs.3.rs-4607116/v1Direct OA link when available
- Concepts
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Medicine, Implant, Series (stratigraphy), Retrospective cohort study, Surgery, General surgery, Geology, PaleontologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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39Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.invasive, | 46 |
| abstract_inverted_index.minimally | 45 |
| abstract_inverted_index.sphincter | 22 |
| abstract_inverted_index.treatment | 111, 227 |
| abstract_inverted_index.Background | 1 |
| abstract_inverted_index.Conclusion | 216 |
| abstract_inverted_index.algorithm. | 112 |
| abstract_inverted_index.completely | 189 |
| abstract_inverted_index.follow-up, | 183, 237 |
| abstract_inverted_index.follow-up. | 215 |
| abstract_inverted_index.intervals, | 132 |
| abstract_inverted_index.management | 3, 76, 231 |
| abstract_inverted_index.recurrence | 15, 52, 129, 194 |
| abstract_inverted_index.successful | 240 |
| abstract_inverted_index.techniques | 27, 48 |
| abstract_inverted_index.case-series | 85 |
| abstract_inverted_index.complicated | 9 |
| abstract_inverted_index.forestomach | 57 |
| abstract_inverted_index.recurrences | 244 |
| abstract_inverted_index.traditional | 32 |
| abstract_inverted_index.demonstrated | 38 |
| abstract_inverted_index.efficacious, | 224 |
| abstract_inverted_index.regenerating | 66 |
| abstract_inverted_index.implantation. | 250 |
| abstract_inverted_index.retrospective | 84 |
| abstract_inverted_index.complications. | 135 |
| abstract_inverted_index.cost-effective | 47, 226 |
| abstract_inverted_index.post-operative | 134, 214 |
| abstract_inverted_index.cryptoglandular | 151 |
| abstract_inverted_index.trans-sphincteric | 144 |
| abstract_inverted_index.<title>Abstract</title> | 0 |
| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 4 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/15 |
| sustainable_development_goals[0].score | 0.6499999761581421 |
| sustainable_development_goals[0].display_name | Life in Land |
| citation_normalized_percentile.value | 0.23099927 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |