VAAFT (Video Assisted Anal Fistula Treatment) Surgery
||VAAFT (Video Assisted Anal Fistula Treatment) Surgery
An anal fistula is a very common problem. The patient develops a pus discharging opening adjacent to the anal opening. Anal fistula commonly starts with a perianal abscess, in which a pus-filled cavity develops adjacent to the anal canal, which either bursts on its own or drained surgically. After drainage of the pus and gradual healing, well-defined pus discharging tract remains known as an anal fistula. For low lying fistula with a short track, the opening of the fistula tract and removing all the debris (Fistulotomy) can be performed. But for high fistulas or fistulas involving the sphincter complex, fistulotomy is risky and is associated with sphincter damage. In these cases, VAAFT is the best method. VAAFT is also the best method for treatment in cases with recurrent, complex fistulas, and high fistulas. In the VAAFT method, a scope is introduced in the fistula and the tract is removed under vision. Also, any branching of the fistula or additional tract can be seen under the vision and can be removed.