VAAFT - Videoassisted anal fistula treatment: A new approach for anal fistula

Mendes, Carlos Ramon Silveira; Ferreira, Luciano Santana de Miranda; Sapucaia, Ricardo Aguiar; Lima, Marcelo Lopes de; Araújo, Sérgio Eduardo Alonso

doi:10.1016/j.jcol.2014.02.005

Cited by 7 publications

(11 citation statements)

References 6 publications

(6 reference statements)

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“…The sex ratio is 2:1 for males compared to females, and the age range is 30-50 years. In the United States, 68,000 to 96,000 new cases are reported annually [1]. Patients with perianal fistula usually complain of feeling fluid exit the anus with dirty, wet, and odorous underwear that causes discomfort and affects quality of life [2].…”

Section: Introductionmentioning

confidence: 99%

“…The surgery can be performed in several ways. Invasive methods include fistulotomy and fistulectomy, as well as less invasive surgeries aimed to reduce the risk of sphincter injury with the use of a plug, fibrin glue, mucosal advancement, and ligation of the intersphincteric fistulous tract (LIFT) and video-assisted anal fistula surgery [1].…”

Section: Introductionmentioning

confidence: 99%

“…In cases of anal fissure, administration of medications that can temporarily relax the anal sphincter decrease anorectal pressure to accelerate wound healing, and the effects are reversible after the drugs are depleted or discontinued. In cases of perianal fissure, however, the medication is continued to maintain low anorectal pressure after the wound of the fissurotomy had healed [1,2].…”

Section: Introductionmentioning

confidence: 99%

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Combined Fistulotomy and Contralateral Anal Internal Sphincterotomy for Recurrent and Complex Anal Fistula to Prevent Recurrence

Handaya

Fauzi

2020

Ann Coloproctol

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The ideal intervention in the treatment of perianal fistula prevents the onset of infection to speed healing and prevent fistula recurrence while maintaining the function of the anal sphincter. Currently, there is no consensus on the best recommended surgical technique for perianal fistula management. Several studies have shown that fistulotomy was an easy and safe procedure for treatment of perianal fistula. Lateral internal sphincterotomy is the usual procedure performed on an anal fissure to decrease the anal sphincter tone. This study reports a combination of fistulotomy and contralateral internal sphincterotomy procedures for recurrent and complex perianal fistula to prevent recurrence. Here, we report 5 cases of recurrent and complex perianal fistula. The combination of fistulotomy and contralateral internal sphincterotomy is a relatively easy and safe procedure for complex perianal fistulae. In our cases, we found neither recurrence nor postoperative anal incontinence.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Combined Fistulotomy and Contralateral Anal Internal Sphincterotomy for Recurrent and Complex Anal Fistula to Prevent Recurrence

Handaya

Fauzi

2020

Ann Coloproctol

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“…With the advent of new technologies and the pursuit for minimally invasive procedures, Meneiro described in 2013 an approach for endoscopic treatment of pilonidal cysts (E.P.Si.T.). 12 This procedure was developed after the use of a fistuloscope for anal fistulas, 13,14 being applied to this pathology.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic pilonidal sinus treatment (E.P.Si.T.): a minimally invasive approach

Mendes

Ferreira

Sapucaia

et al. 2015

Journal of Coloproctology

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Introduction The pilonidal cyst is a chronic inflammatory process that occurs frequently in the sacrococcygeal region. It is more common in males with a ratio of 3:1 and usually presents itself in the third decade of life. The treatment is mainly surgical with various forms. The search for new technologies as well as for a minimally invasive treatment has become of utmost importance in surgical routines. The technique E.P.Si.T. (endoscopic treatment of pilonidal cyst) developed by Meneiro has been quite interesting in the treatment of pilonidal cysts. Surgical technique Anesthetized the patient in the supine position. Identified the drainage hole of the cyst, and began with the passage of fistuloscope studying the path of the cyst. Performs following the removal of all the tissue inside as the hair followed by cauterization of the path. Removed all devitalized tissue and enlargement of the opening of the cyst.

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“…It is usually the sequale of anorectal abscesses. Other less common causes are Crohn's disease, trauma, malignancies, infections and radiotherapy [2]. Several techniques have been developed over the decades to treat anal fistulas and with increasing importance being given to preserve sphincter function however there is no gold standard treatment of choice for this condition.…”

mentioning

confidence: 99%