Video-Assisted Anal Fistula Treatment for Treatment of Complex Cryptoglandular Anal Fistulas with 2 Years Follow-Up Period: Our Experience

2020 ◽  
Vol 30 (12) ◽  
pp. 1329-1333
Author(s):  
M. Zelić ◽  
D. Karlović ◽  
D. Kršul ◽  
Đ. Bačić ◽  
J. Warusavitarne
Keyword(s):  
Anal Fistula ◽  
Anal Fistulas ◽  
Video Assisted ◽  
Fistula Treatment

scholarly journals Video-assisted anal fistula treatment: a high volume unit initial experience

2018 ◽  
Vol 100 (1) ◽  
pp. 37-41 ◽  
Author(s):  
FY Cheung ◽  
ND Appleton ◽  
S Rout ◽  
R Kalaiselvan ◽  
JA Nicholson ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Anal Fistula ◽  
High Volume ◽  
Initial Experience ◽  
Perianal Fistulas ◽  
Video Assisted ◽  
Difficult Condition ◽  
Fistula Treatment

Introduction Perianal fistulas are a common problem. Video-assisted anal fistula treatment is a new technique for the management of this difficult condition. We describe our initial experience with the technique to facilitate the treatment of established perianal fistulas. Methods We reviewed a prospectively maintained database relating to consecutive patients undergoing video-assisted anal fistula treatment in a single unit. Results Seventy-eight consecutive patients had their perianal fistulas treated with video-assistance from November 2014 to June 2016. Complete follow-up data were available in 74 patients, with median follow-up of 14 months (interquartile range 7–19 months). There were no complications and all patients were treated as day cases. Most patients had recurrent disease, with 57 (77%) having had previous fistula surgery. At follow-up, 60 (81%) patients reported themselves ‘cured’ (asymptomatic) including 5 patients with Crohn’s disease and one who had undergone 10 previous surgical procedures. Logistical stepwise regression did not demonstrate any statistically significant factors that may have been considered to affect outcome (age, gender, diabetes, previous I&D, Crohn’s disease, smoking, type of fistula). Conclusions Our data have shown that video-assisted anal fistula treatment is safe and effective in the management of perianal fistulas in our patients and this suggests it may be applied to all patients regardless of comorbidity, underlying pathology or type of fistula.

Video-Assisted Anal Fistula Treatment (VAAFT) for complex anorectal fistula: efficacy and risk factors for failure at 3-year follow-up

2020 ◽  
Vol 24 (7) ◽  
pp. 741-746 ◽  
Author(s):  
L. Regusci ◽  
F. Fasolini ◽  
P. Meinero ◽  
G. Caccia ◽  
G. Ruggeri ◽  
...  
Keyword(s):  
Risk Factors ◽  
Anal Fistula ◽  
Anorectal Fistula ◽  
Video Assisted ◽  
Fistula Treatment

scholarly journals Video Assisted Anal Fistula Treatment, a Paradigm Shift in the Treatment of Complex Anal Fistulas

2021 ◽  
Vol 8 (06) ◽  
pp. 313-318
Author(s):  
Anshu Atreya ◽  
Ankit Raikhy ◽  
Srinivasa Rao Geddam ◽  
Abhishekh Bhartia ◽  
Vishnu Kumar Bhartia
Keyword(s):  
Anal Fistula ◽  
Small Subset ◽  
Internal Opening ◽  
Anal Fistulas ◽  
Fistula In Ano ◽  
Video Assisted ◽  
Wide Range ◽  
Ancient Times ◽  
Fistula Treatment ◽  
Complex Anal Fistulas

BACKGROUND Fistula-in-ano or anal fistulas are documented since ancient times and their management has always been a challenge. Various modalities of treatment are available and newer ones are being added each day. The aim of this retrospective study is to analyse the outcome of the video assisted anal fistula treatment (VAAFT), one of the modalities of treatment for complex anal fistulas done at our centre. METHODS Records of patients who had been treated through VAAFT by single senior consultant surgeon of Minimal Access Surgery unit between April 2013 and March 2019, were collected and analysed. RESULTS Altogether, records of 48 (forty-eight) patients who had undergone VAAFT during the period were analysed. Data revealed that 38 male (79.17 %) and 10 female (20.83 %) patients with mean age of 49.96 ± 12.22 years were operated. Most commonly, trans sphincteric followed by inter sphincteric type of fistulae were encountered. In 3 cases, internal opening couldn’t be visualised. Six patients were documented to have a recurrence within 6 months of the procedure and in the rest were cured except in a small subset of patients who did not follow up. CONCLUSIONS Amongst the wide range of armamentarium available today for the treatment of complex anal fistulas, video assisted anal fistula treatment (VAAFT) is a novel sphincter saving technique. The recurrence rate at our centre was at par with other studies and with zero incontinence rate, however further RCTs are required. KEYWORDS Complex Anal Fistula, Fistula-in-Ano, MEINERO Fistuloscope, VAAFT

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