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2015 ; 31
(5
): 1233-5
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VAAFT: Video Assisted Anal Fistula Treatment; Bringing revolution in Fistula
treatment
#MMPMID26649020
Zarin M
; Khan MI
; Ahmad M
; Ibrahim M
; Khan MA
Pak J Med Sci
2015[Sep]; 31
(5
): 1233-5
PMID26649020
show ga
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.