Video-assisted anal fistula treatment (VAAFT) – A day care, painless procedure for treatment of anal fistula

Manash R Sahoo, MS, Anil Kumar, Post, Graduate

Department of Surgery, SCB Medical College, Cuttack, Odisha, India

Objective: To assess the feasibility of VAAFT as a day care procedure.

Description: Twenty one patients of age ranging from 18- 40 years presented with a fistula in ano, out of which six were female and fifteen male. All patients after routine biochemical investigations, diabetes was ruled out. Also none had history of tuberculosis or crohn’s disease. Under spinal anesthesia using Karl Storz instruments, fistuloscope was inserted and internal opening identified. Under mannitol-glycine irrigation slough debrided through the use of debrider & any other side channels (secondary fistula) are identified & the bleeding points coagulated on spray mode. Stay sutures were taken around the internal opening of the fistula & suture closed. Synthetic cyanoacrylate glue is placed just behind the suture line for perfect closure of internal opening. The rest of the tract is left behind allowing the passage of secretions. All patients started taking orally 6-8 hrs after operation and none were given either analgesics or antibiotics. None complained of pain and these patients were discharged the same day evening.

Follow up was done at 15 days, one month and three months with no complaints.

VAAFT is safe, feasible, day care, painless procedure with promising results in short term follow up.

Session: Poster Presentation

Program Number: ETP006

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