Does anybody have experience with the OTSC Proctology clip system for anorectal fistula closure ?

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Stefan Benesch

Dear Yonko, several years ago we were the third hospital in Germany using the OTSC clip. We used it about 10 times and leaved this techinque in the meanwhile. Reasons: clip loss and plain. We use Permacol Paste instead now.

Charles A. de Gheldere

I combine a fistulectomy with a rectal advancement flap and a Cook fistula plug and have a succes rate of 75 %. The first 30 cases are in press, albeit in the Acta chirurgica belgica because " Colorectal disease turned it down. The OTSC was proposed to me but I am reluctant to use because of 1° its cost and 2° it's fate . What happens when this huge thing stays clinged in the anal canal. As Dr. Benesch states I guess it can be painful . How do you get rid of it when it's not useful anymore ????