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Advice Re: Fistula Plug Post-Op Care - Gore BIO-A

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Old 04-22-2010, 01:20 PM   #1
Join Date: Apr 2010
Posts: 3
shinez HB User
Advice Re: Fistula Plug Post-Op Care - Gore BIO-A

I'm going in tomorrow to have a Gore BIO-A fistula plug procedure. Any advice on how to ensure that it heals well and doesn't fall out? Anyone with success stories (or tragedies) with this who can share specific information about things to definitely do / not do after the operation would be much appreciated! I'd especially like to hear from anyone who used the Gore BIO-A product.


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Old 04-22-2010, 05:46 PM   #2
Join Date: Feb 2010
Posts: 5
tiredgirl44 HB User
Re: Advice Re: Fistula Plug Post-Op Care - Gore BIO-A

Hi Shinez,
I was just checking back in today to wish you well. I had my 8 wk post-op visit with my CRS today and so far everything looks good. When I saw him 3 weeks ago he was "cautiously optimistic" and now he says he's "optimistic". Yay! He still cautioned me that it's too early to tell for sure that it will work, but right now everything is fine -- no more sign of an internal opening, no signs of infection, nothing other than a bit of yellowish drainage coming from the external opening, which is still healing. So, hopefully this Gore plug will be a success for me and you too!

I wish you all the best tomorrow. I'm sure your doctor will give you specific instructions, and that you've read everything on this board and the "fistula friends" board (there are 2 people posting there that just had the Gore plug last week, so you should check on that site too). The key things are high fiber diet, lots of water, stool softeners, etc --- you don't want to strain at ALL with bm's. My doctor also recommended 3-4 sitz baths a day and said no strenous activity or lifting anything more than 5 lbs for 2 weeks. I gave it more time than that though because the last time I tried it fell out at 3 weeks, just as I started to do more walking/lifting kids/etc. I've been dealing with this for 2 years now and just want it to be over, so I went a little overboard....I didn't really do anything for the first 6 weeks. It was difficult, but if it works, it will be worth it!

The other important thing is to pay attention and call your doctor if anything changes after the first couple of weeks. I felt great at 2 weeks and then started to have more soreness and more drainage at about 3 weeks and called right away. He had me start taking cipro and flagyl to clear up the infection that seemed to be starting and kept me on them for several weeks to be sure that wouldn't hurt the chances of success. He mentioned that 2 of his other patients with the Gore plug had similar experiences at about the 3-4 week post-op mark and that both of them healed completely after being on the antibioitics for a few weeks. As you know, this plug is still pretty new and they're still collecting data on what works best, so if you notice any signs of infection/soreness/swelling/change in drainage, it's probably best to call right away and ask if you should start the antibiotics.

Good luck! I'll keep my fingers crossed for you!


Last edited by tiredgirl44; 04-22-2010 at 06:03 PM.

Old 06-09-2010, 07:43 AM   #3
Join Date: Jun 2010
Posts: 2
merlin70 HB User
Re: Advice Re: Fistula Plug Post-Op Care - Gore BIO-A

I had the Gore BIO A plug inserted back in February and so far everything is going well. My doctor had me do sitz baths (3 times per day) for two weeks after the surgery to help keep everything clean. Right after the plug was inserted I had a lot of drainage, more than I had before the plug so I was discouraged at first but after the weeks passed the drainage started getting less and less. After about 6-8 weeks post-op, the drainage stopped completely and my fistula appears to be healed. I wasn't told to stop exercising or go on any special diet but I did take it easy a few weeks after the surgery just in case. The type of anal fistula that I had was described to me as half of a horseshoe fistula. I'm not sure if the gore plug works for all types of fistulas but in my case it appears to have been successful.

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