scholarly journals Video-Assisted Anal Fistula Treatment: Pros and Cons of This Minimally Invasive Method for Treatment of Perianal Fistulas

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Michal Romaniszyn ◽  
Piotr Walega
Keyword(s):  
Anal Fistula ◽  
Fistula Tract ◽  
Perianal Fistulas ◽  
Video Assisted ◽  
Invasive Method ◽  
Pros And Cons ◽  
Fistula Treatment ◽  
Selection Of Patients ◽  
Selection Of

Purpose. The purpose of this paper is to present results of a single-center, nonrandomized, prospective study of the video-assisted anal fistula treatment (VAAFT). Methods. 68 consecutive patients with perianal fistulas were operated on using the VAAFT technique. 30 of the patients had simple fistulas, and 38 had complex fistulas. The mean follow-up time was 31 months. Results. The overall healing rate was 54.41% (37 of the 68 patients healed with no recurrence during the follow-up period). The results varied depending on the type of fistula. The success rate for the group with simple fistulas was 73.3%, whereas it was only 39.47% for the group with complex fistulas. Female patients achieved higher healing rates for both simple (81.82% versus 68.42%) and complex fistulas (77.78% versus 27.59%). There were no major complications. Conclusions. The results of VAAFT vary greatly depending on the type of fistula. The procedure has some drawbacks due to the rigid construction of the fistuloscope and the diameter of the shaft. The electrocautery of the fistula tract from the inside can be insufficient to close wide tracts. However, low risk of complications permits repetition of the treatment until success is achieved. Careful selection of patients is advised.

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 The success of laser ablation of fistula tract (laft) technique in anal fistula treatment: Early results of a tertiary center

2021 ◽  
Vol 38 (2) ◽  
pp. 192-196
Author(s):  
İsmail Alper TARIM ◽  
Murat DEREBEY ◽  
Can AKGUN ◽  
Vahit MUTLU ◽  
Fatih ATALAY ◽  
...  
Keyword(s):  
Laser Ablation ◽  
Anal Fistula ◽  
Fistula Tract ◽  
Early Results ◽  
Tertiary Center ◽  
Surgical Options ◽  
The Mean ◽  
Fistula Treatment ◽  
Healing Group

Laser Ablation of the Fistula Tract (LAFT) is a newly defined technique for anal fistula treatment. Our aim in this study is to evaluate the effectiveness of the LAFT technique and to discuss the precise indications and limitations of the technique by sharing our own truths and mistakes over our early results. All patients with anal fistulas who were treated LAFT tecnique by same team from April 2019 until March 2020 at the our center, were evaluated in this study, retrospectively. While the patients who failed LAFT were included in the "Reccurrence after LAFT" group, the patients with successful LAFT were included in the "Healing" group. Differences between the groups were investigated. LAFT technique was applied to 19 patients in the specified period. Twelve (63%) of the cases were male and 7 (37%) were female, and the mean age was 45±14.5. The mean postoperative follow-up time was 13±3.4 months. Eleven cases had undergone surgery at least once with the diagnosis of anal fistula. Loose seton was applied in only 4 (25%) cases. It was observed that only 7 (37%) patients recovered with the LAFT technique (Table 1). LAFT was found to be more successful in patients who had never been operated before (p = 0.048, Table 2). In conclusion, LAFT technique is more successful in primary anal fistula cases and this technique should definitely be among the surgical options for anal fistula treatment.

scholarly journals Advances in the Treatment of Anal Fistula: A Mini-Review of Recent Five-Year Clinical Studies

2021 ◽  
Vol 7 ◽  
Author(s):  
Lijiang Ji ◽  
Yang Zhang ◽  
Liang Xu ◽  
Jun Wei ◽  
Liping Weng ◽  
...  
Keyword(s):  
Anal Fistula ◽  
Term Treatment ◽  
Large Sample Size ◽  
Effective Strategies ◽  
Long Term Treatment ◽  
Long Term Follow Up ◽  
Pros And Cons ◽  
Fistula Treatment

Anal fistula, with its complicated pathogenesis, has been considered as a clinical challenge for centuries. The risk of frequent recurrence and incontinence constitutes a considerable threat in the long-term treatment of anal fistula. In this work, we narratively reviewed the scientific literature of new techniques that have been used for anal fistula treatment over the recent 5 years, objectively evaluated the pros and cons of each technique on the basis of clinical outcomes, and tried to disclose the effective strategies for anal fistula treatment. Up to date, surgery is the main method used for treating anal fistula, but there is no simple technique that can completely heal complex anal fistula. In the course of surgery treatment, the healing outcome, and the protection of anal function should be weighed comprehensively. Among the innovative techniques that have emerged in recent years, combined techniques based on drainage Seton and LIFT-plug seem to be the relatively effective therapies, but their effectiveness requires more multi-center prospective randomized controlled trials with large sample size and long-term follow-up to be validated.

scholarly journals Video-assisted anal fistula treatment: technical considerations and preliminary results of the first brazilian experience

2014 ◽  
Vol 27 (1) ◽  
pp. 77-81 ◽  
Author(s):  
Carlos Ramon Silveira MENDES ◽  
Luciano Santana de Miranda FERREIRA ◽  
Ricardo Aguiar SAPUCAIA ◽  
Meyline Andrade LIMA ◽  
Sergio Eduardo Alonso ARAUJO
Keyword(s):  
Anal Fistula ◽  
Fistula Tract ◽  
Anorectal Fistula ◽  
Treatment Technique ◽  
Internal Opening ◽  
Direct Closure ◽  
Invasive Approach ◽  
Internal Fistula ◽  
Video Assisted ◽  
Fistula Treatment

Backgroung : Anorectal fistula represents an epithelized communication path of infectious origin between the rectum or anal canal and the perianal region. The association of endoscopic surgery with the minimally invasive approach led to the development of the video-assisted anal fistula treatment. Aim : To describe the technique and initial experience with the technique video-assisted for anal fistula treatment. Technique : A Karl Storz video equipment was used. Main steps included the visualization of the fistula tract using the fistuloscope, the correct localization of the internal fistula opening under direct vision, endoscopic treatment of the fistula and closure of the internal opening which can be accomplished through firing a stapler, cutaneous-mucosal flap, or direct closure using suture. Results : The mean distance between the anal verge and the external anal orifice was 5.5 cm. Mean operative time was 31.75 min. In all cases, the internal fistula opening could be identified after complete fistuloscopy. In all cases, internal fistula opening was closed using full-thickness suture. There were no intraoperative or postoperative complications. After a 5-month follow-up, recurrence was observed in one (12.5%) patient. Conclusion : Video-assisted anal fistula treatment is feasible, reproducible, and safe. It enables direct visualization of the fistula tract, internal opening and secondary paths.

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 Symptom amelioration in Crohn’s perianal fistulas using video assisted anal fistula treatment (VAAFT)

2018 ◽  
Author(s):  
Samuel O Adegbola ◽  
Kapil Sahnan ◽  
Philip J Tozer ◽  
Raimund Strouhal ◽  
Ailsa L Hart ◽  
...  
Keyword(s):  
Anal Fistula ◽  
Perianal Fistulas ◽  
Video Assisted ◽  
Fistula Treatment
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