Minimally Invasive Anal Fistula Treatment (MAFT)—An Appraisal of Early Results in 416 Patients

Chowbey, P. K.; Khullar, Rajesh; Sharma, Anupam; Soni, Vandana; Najma, K; Baijal, Manish

doi:10.1007/s12262-013-0977-2

Cited by 22 publications

(8 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The internal opening is then closed with a stapler (original method), sutures, or an advancement flap [ 8 ]. The initial results published in 2011 were very promising [ 7 ], but in the publications which followed the results, it varied significantly [ 9 – 11 ].…”

Section: Introductionmentioning

confidence: 99%

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

Romaniszyn

Wałęga

2017

Gastroenterology Research and Practice

View full text Add to dashboard Cite

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.

show abstract

Section: Introductionmentioning

confidence: 99%

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

Romaniszyn

Wałęga

2017

Gastroenterology Research and Practice

View full text Add to dashboard Cite

show abstract

“…Apart from our report of two minor adverse events, a few minor complications have been reported by several other researchers, including urinary retention and perineal or scrotal edema. 8 , 24 Therefore, the VAAFT procedure is feasible in patients with complicated perianal fistulas because of its low probability of complications; usually, the procedure can be easily performed before success is achieved. The video fistuloscope provides the surgeon more control over the operation because visualization of the tract and its branches helps to define the precise direction of the fistula and its internal opening.…”

Section: Discussionmentioning

confidence: 99%

Video-assisted anal fistula treatment combined with anal fistula plug for treatment of horseshoe anal fistula

Zhang

Zhao³

et al. 2021

J Int Med Res

View full text Add to dashboard Cite

Objective Horseshoe anal fistula is a common anorectal disease, and there is no standard procedure for its treatment. In this study, we performed a modified surgical procedure for the treatment of horseshoe anal fistula and investigated its efficacy and adverse effects. Methods We retrospectively analyzed the outcomes of video-assisted anal fistula treatment combined with an anal fistula plug (VAAFT-Plug) in 26 patients with a horseshoe anal fistula. The follow-up period ranged from 6 to 18 months. Preoperative and postoperative data were collected to analyze the cure rate, anal sphincter function, and incidence of complications. Results The surgeries were successfully performed in all patients, 23 of whom were cured (effective cure rate of 88.46%). Three patients developed recurrence and were cured after traditional surgery. No patients developed severe complications or postoperative anal incontinence. The VAAFT-Plug protocol was performed with a small incision in the fistula that subsequently promoted fistula healing and preserved sphincter function. Conclusion Although randomized controlled trials will be needed to fully validate these findings, our results suggest that VAAFT-Plug represents a promising treatment strategy for horseshoe anal fistulas. This technique preserves normal anal function and achieves satisfactory outcomes in most patients.

show abstract

“…Mattress suture was used in 5 and linear stapler in 9 had similar findings to VAAFT (Table 4). [24][25][26][27][28][29][30][31][32] Fistula closure techniques like LIFT (Ligation of Intersphincteric Fistula Tract) is another sphincter-saving method. 6,7 It gives promising results amounting to 90% of recovery.…”

Section: Discussionmentioning

confidence: 99%

Initial results of using VAAFT in the management of fistula-in-ano: a prospective observational study

Rode

Bansod

2018

Int Surg J

View full text Add to dashboard Cite

Background: The aim of this study is to present their initial 5-year experience in the treatment of fistula-in-ano by means of VAAFT (Video-Assisted Anal Fistula Treatment).Methods: 76 patients were competent for the VAAFT procedure. Patients were subjected to routine diagnostic tests. 20 patients had classical fistula surgery. In the remaining 56 patient full procedure i.e. diagnostic fistuloscopy, closing the internal ostium, and coagulation of the fistula canal was done. The mean observation period was 23 months.Results: Majority of the cases, inter-sphincter fistula and multiple branching was observed during the diagnostic fistuloscopy. Nine patients had additional fluid compartments. In 56 patients subjected to the full VAAFT procedure the internal ostium was closed using a linear stapler. A recurrence of fistula was observed in one, while non-healing was seen in two patients. Major complications like stool and gas control deterioration (based on the FISI scoring) were not observed in VAAFT operated patients.Conclusions: The VAAFT method preserves sphincter competency, no major intraoperative and postoperative complications were observed. The recovery rate is observed to be comparable with other techniques without the risk of incontinence. It is one of the best method enabling intraoperative visualisation and identification of the internal ostium and fistula canal. Initial optimistic results require further investigations on a larger group of patients.

show abstract

Minimally Invasive Anal Fistula Treatment (MAFT)—An Appraisal of Early Results in 416 Patients

Cited by 22 publications

References 23 publications

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

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

Video-assisted anal fistula treatment combined with anal fistula plug for treatment of horseshoe anal fistula

Initial results of using VAAFT in the management of fistula-in-ano: a prospective observational study

Contact Info

Product

Resources

About