Laser anal fistula surgery (aka FiLAC) is an option for complex fistulas as a sphincter preserving option. The results are similar to LIFT and flap when used in appropriately selected patients however, NICE Recommends Bioprosthetic Plug for Anal Fistulas Endoscopic Management of Gastrocutaneous Fistula Using Clipping, Suturing, and Plugging Methods ScienceDirect The Fistula Plug Story LimitsofEBM.org
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anal fistula plug Fistula Treatment Without Surgery: Fistula Plugs Explained