Video-Assisted Anal Fistula Treatment (VAAFT): Johor Bahru’s Humble Beginnings

Selvarajan, Aroona

doi:10.16965/ijims.2015.125

Cited by 4 publications

(1 citation statement)

References 4 publications

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“…Fistulotomy is the most common procedure performed for anal fistulas but fistulotomy is contraindicated in complex fistulas as the risk of sphincter injury is high[ 2 ]. Therefore, several new sphincter-sparing procedures have been developed over the last two decades like video-assisted anal fistula treatment (VAAFT)[ 3 - 7 ], anal fistula plug (AFP)[ 8 , 9 ], over the scope clip (OTSC)[ 10 - 12 ], fistula laser treatment (FiLac)[ 2 ], stem cells[ 13 , 14 ], fixcision[ 15 ], fibrin glue[ 16 - 18 ], ligation of intersphincteric fistula tract (LIFT)[ 19 - 25 ], Bio-LIFT[ 26 ] and transanal opening of intersphincteric space (TROPIS)[ 27 - 31 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison between recent sphincter-sparing procedures for complex anal fistulas-ligation of intersphincteric tract vs transanal opening of intersphincteric space

Garg¹

2022

WJGS

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Complex anal fistulas are difficult to treat. The main reasons for this are a higher recurrence rate and the risk of disrupting the continence mechanism because of sphincter involvement. Due to this, several sphincter-sparing procedures have been developed in the last two decades. Though moderately successful in simple fistulas (50%-75% healing rate), the healing rates in complex fistulas for most of these procedures has been dismal. Only two procedures, ligation of intersphincteric fistula tract and transanal opening of intersphincteric space have been shown to have good success rates in complex fistulas (60%-95%). Both of these procedures preserve continence while achieving high success rates. In this opinion review, I shall outline the history, compare the pros and cons, indications and contraindications and future application of both these procedures for the management of complex anal fistulas.

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Section: Introductionmentioning

confidence: 99%

Comparison between recent sphincter-sparing procedures for complex anal fistulas-ligation of intersphincteric tract vs transanal opening of intersphincteric space

Garg¹

2022

WJGS

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Short-term efficacy and safety of three novel sphincter-sparing techniques for anal fistulae: a systematic review

et al. 2017

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All three techniques appear to be safe and feasible options in the management of anal fistulae, and short-term healing rates are acceptable with no sustained effect on continence. There is, however, a paucity of robust data with long-term outcomes. These techniques are thus welcome additions; however, their long-term place in the colorectal surgeon's armamentarium, whether diagnostic or therapeutic, remains uncertain.

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Evaluation and management of perianal abscess and anal fistula: SICCR position statement

et al. 2020

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Video-Assisted Anal Fistula Treatment (VAAFT): Johor Bahru’s Humble Beginnings

Abstract: BACKGROUND

Cited by 4 publications

References 4 publications

Comparison between recent sphincter-sparing procedures for complex anal fistulas-ligation of intersphincteric tract vs transanal opening of intersphincteric space

Comparison between recent sphincter-sparing procedures for complex anal fistulas-ligation of intersphincteric tract vs transanal opening of intersphincteric space

Short-term efficacy and safety of three novel sphincter-sparing techniques for anal fistulae: a systematic review

Evaluation and management of perianal abscess and anal fistula: SICCR position statement

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