VAAFT: Video Assisted Anal Fistula Treatment; Bringing revolution in Fistula treatment.

Abstract:

OBJECTIVE:To share our findings that the new treatment modality Video Assisted Anal Fistula Treatment (VAAFT) is a better alternate to the conventional treatments of Fistula in Ano in our setup with minor changes in the initial method described by Meinero. METHODS:Karl Storz Video equipment including Meinero Fistuloscope was used. Key steps are visualization of the fistula tract, correct localization of the internal fistula opening under direct vision and endoscopic treatment of the fistula. This is followed by an operative phase of fulguration of the fistula tract using glycine solution mixed with manitol, curetting the tract with curette and fistula brush. Internal opening is closed with a Vicryl 1 suture. RESULT:Total of 40 patients were operated using VAAFT from October 2013 to March 2014. Three were re-operated. The other 37 cases were followed up at 6 weeks, 3 months and 6 months. Primary healing took place in 20 (50%) cases at 6 weeks. In the remaining 17 (42.5%) cases, minor discharge occurred with itching which resolved till the next visit at 8 weeks and 12 weeks. CONCLUSION:As the main aim in treating fistula is proper identification of the internal opening, excision of the tract and sparing the sphincter function, VAAFT achieves all aims with additional benefits of patients' satisfaction and negligible scaring.

journal_name

Pak J Med Sci

authors

Zarin M,Khan MI,Ahmad M,Ibrahim M,Khan MA

doi

10.12669/pjms.315.6836

subject

Has Abstract

pub_date

2015-09-01 00:00:00

pages

1233-5

issue

5

eissn

1682-024X

issn

1681-715X

pii

PJMS-31-1233

journal_volume

31

pub_type

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