Long term efficacy of Video‐Assisted Anal Fistula Treatment ( VAAFT ) for complex fistula‐in‐ano: a single‐centre Australian experience

2022 ◽  
Author(s):  
Mat Hinksman ◽  
Sanjeev Naidu ◽  
Kenneth Loon ◽  
Joshua Grundy
Keyword(s):  
Anal Fistula ◽  
Single Centre ◽  
Fistula In Ano ◽  
Term Efficacy ◽  
Video Assisted ◽  
Complex Fistula ◽  
Australian Experience ◽  
Fistula Treatment

Long-term efficacy and safety of a nitinol closure clip system for anal fistula treatment

2017 ◽  
Vol 26 (4) ◽  
pp. 227-231 ◽  
Author(s):  
Sebastian Dango ◽  
Fillimon Antonakis ◽  
Dirk Schrader ◽  
Arkadiy Radzikhovskiy ◽  
Michael B. Ghadimi ◽  
...  
Keyword(s):  
Anal Fistula ◽  
Efficacy And Safety ◽  
Term Efficacy ◽  
Fistula Treatment

scholarly journals Role of video assisted anal fistula treatment in our management of fistula-in-ano

2014 ◽  
Vol 61 (2) ◽  
pp. 83-85 ◽  
Author(s):  
Tomáas Grolich ◽  
Tomás Skricka ◽  
Oldøich Robek ◽  
Zdenìk Kala ◽  
Beata Hemmelová ◽  
...  
Keyword(s):  
Anal Fistula ◽  
Perianal Fistula ◽  
Internal Opening ◽  
Fistula In Ano ◽  
Chronic Fistula ◽  
Video Assisted ◽  
Seton Drainage ◽  
Fistula Treatment ◽  
Established Role

Background: Video-assisted anal fistula treatment is a new method used for treatment of complex perianal fistula with maximal sparing of sphincter muscles and prevention of false route. Authors inform about their experience and operative results. Aims: Our aim was to verify feasibility of the method, help in internal opening identification and define its position in our management of perianal fistulas. Methods: Patients with chronic fistula-in-ano of IBD and non-IBD benign etiology were enrolled. Anoscopy with fistuloscopy was attempted in all patients followed by loose seton drainage or other procedure. Results: Fistuloscopy was attempted in 30 patients, finished in 93% and internal opening was found in 67%. No procedure-related morbidity was observed. Conclusion: Fistuloscopy alone is feasible for diagnosing type of IBD and non-IBD fistulas. VAAFT technique and instruments were helpful for identification of an internal opening in most cases. As such it has established role in our management of fistula-in-ano.

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

scholarly journals Video‐assisted anal fistula treatment for complex anal fistula: a long‐term follow‐up study

2020 ◽  
Vol 22 (8) ◽  
pp. 939-944 ◽  
Author(s):  
G. Giarratano ◽  
M. Shalaby ◽  
C. Toscana ◽  
P. Sileri
Keyword(s):  
Anal Fistula ◽  
Follow Up Study ◽  
Complex Anal Fistula ◽  
Video Assisted ◽  
Long Term Follow Up ◽  
Fistula Treatment

scholarly journals A Video-Assisted Anal Fistula Treatment (VAAFT): A New Minimally Invasive Treatment Option for Fistula in Ano

2021 ◽  
pp. 135-139
Author(s):  
Nawaz Ali Dal ◽  
Arshad Hussain Abro ◽  
Muhammad Anwar Memon ◽  
Ahmer Akbar Memon ◽  
Muhammad Qasim Mallah ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Anal Fistula ◽  
Treatment Option ◽  
Complete Healing ◽  
Minimally Invasive Treatment ◽  
General Surgeon ◽  
Invasive Treatment ◽  
Fistula In Ano ◽  
Video Assisted ◽  
Fistula Treatment

Objective: To determine the outcome of video-assisted anal fistula treatment (VAAFT): A new minimally invasive treatment option for fistula in ano. Study Design: This is an observational study. Setting: Study carried out at General Surgery department, Liaquat University of Medical and Health Sciences Jamshoro, form January 2020 to June 2020. Material & Method: Inclusion criteria for this study were patients aged 18-60 years visiting the outpatient department with primary/recurrent fistula having symptoms. Among these individuals having anal fistula due to secondary causes like IBD, tuberculosis or any malignancy were not included in the study. VAAFT was performed by experience general surgeon and post-operative follow up was done till 1 years. Results: A total of 68 patients with fistula in ano were selected for video assisted anal fistula treatment (VAAFT) in our setup. It included 67.6% (n=46) males and 32.3% (n=22) females who agreed for the procedure. The mean age of patients were found to be 43+13 years. Post-operatively complete healing was observed in 75% (n=51) patients and 14.7% patients had persistent fistula after the procedure.  Conclusion: VAAFT is a minimally invasive surgical intervention implied to treat primary and recurrent anal fistulas, having lesser rates of recurrence and few post-operative complications. It should be implied over large scales for treatment of primary and recurrent anal fistula as it  carries the lowest rate of anal incontinence.

scholarly journals Video-assisted anal fistula treatment in the management of fistula-in-ano: A 3-year experience

2019 ◽  
Vol 16 (4) ◽  
pp. 267
Author(s):  
MohammedSalih Al-Janabi ◽  
HusseinOudah Al-Jasmawi ◽  
AlaaBakir Raheem Al-Mhanaa
Keyword(s):  
Anal Fistula ◽  
Fistula In Ano ◽  
Video Assisted ◽  
Fistula Treatment

scholarly journals LONG-TERM OUTCOMES OF LIGATION OF INTERSPHINCTERIC FISTULA TRACT FOR COMPLEX FISTULA-IN-ANO: MODIFIED OPERATIVE PROCEDURE EXPERIENCE

2018 ◽  
Vol 31 (4) ◽  
Author(s):  
Ke WEN ◽  
Yun-Fei GU ◽  
Xue-Liang SUN ◽  
Xiao-Peng WANG ◽  
Shuai YAN ◽  
...  
Keyword(s):  
Success Rate ◽  
Operative Procedure ◽  
Cleveland Clinic ◽  
Fistula Tract ◽  
Long Term Outcomes ◽  
Fistula In Ano ◽  
Complex Fistula ◽  
Intersphincteric Fistula

ABSTRACT Background: It is important but difficult to treat complex fistula-in-ano due to the high recurrent rate and following incontinence. Ligation of the intersphincteric fistula tract (LIFT), a novel surgical procedure with the advantage of avoiding anal incontinence, has a variable success rate of 57-94.4 %. Aim: To evaluate the long-term outcomes of modified LIFT operative procedure - ligation of intersphincteric fistula tract - to treat complex fistula-in-ano. Methods: Retrospective analysis of 62 cases of complex fistula-in-ano. The group was treated with the modified approach of LIFT (curved incision was made in the anal canal skin; purse-string suture was performed around the fistula; the residual fistulas were removed in a tunnel-based way) and had a follow-up time of more than one year. Patient´s preoperative general condition, postoperative efficacy and their anal function were compared. Results: The median age of the participants was 34, and 43 (69.4%) cases were male. Forty-one (66.1%) cases were of high transsphincteric fistula, four (6.5%) cases of high intrasphincter fistula, and 17 (27.4%) cases of anterior anal fistula in female. The median follow-up duration was 24.5 (range, 12-51) months. The success rate in the end of follow-up was 83.9% (52/62). The anorectal pressure and Cleveland Clinic Florida Fecal Incontinence (CCF-FI) evaluated three months before and after the operation did not find apparent changes. Conclusions: Compared with LIFT, the modified LIFT remarkably reduces postoperative failure and the recurrence rate of complex fistula with acceptable long-term outcomes.

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