An experience with video-assisted anal fistula treatment (VAAFT) with new insights into the treatment of anal fistulae

Conclusions
VAAFT is useful in the identification of fistula tracts and enables closure of the internal opening. Adequate closure is essential with the method used to close large or fibrotic internal openings being the determining factor for success or failure. The OTSC system delivered the most consistent result without leaving a substantial perianal wound. Ensuring thorough curettage and drainage of the tract during VAAFT is also important to facilitate healing. We believe that this understanding will bring about a decrease in the high recurrence rates currently seen in many series of anal fistulae.

Source: Techniques in Coloproctology - April 7, 2016 Category: Surgery Source Type: research