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

Journal of Coloproctology - Tập 34 - Trang 62-64 - 2014
Carlos Ramon Silveira Mendes1,2, Luciano Santana de Miranda Ferreira1, Ricardo Aguiar Sapucaia3, Meyline Andrade Lima1, Sergio Eduardo Alonso Araujo3,4
1Service of Coloproctology, Hospital Santa Izabel da Santa Casa de Misericórdia da Bahia, Salvador, BA, Brazil
2Hospital Geral Roberto Santos, Salvador, BA, Brazil
3Department of Gastroenterology, Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, Brazil
4Service of Colon and Rectum Surgery, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, Brazil

Tóm tắt

Abstract Introduction Anal fistula is an epithelised path between the rectum or anal canal and the perianal region. The use of laparoscopic surgery with a minimally invasive procedure has led to the development of video-assisted surgical treatment of anal fistula. Objective To describe the surgical technique VAAFT as a new approach to fistula. Conclusion This is a safe and reproducible procedure. It enables the study of the entire fistula, obtaining the identification of accessory paths, cavitations and of the inner hole. More studies should be published for a better analysis of this technique, as well as to have a long-term outcome with new publications.

Tài liệu tham khảo

Atkin, 2011, For many high anal fistulas, lay open is still a good option, Tech Coloproctol, 15, 143, 10.1007/s10151-011-0676-6 Cirocchi, 2010, Meta-analysis of fibrin glue versus surgery for treatment of fistula-in-ano, Ann Ital Chir, 81, 349 Mizrahi, 2002, Endorectal advancement flap: are there predictors of failure?, Dis Colon Rectum, 45, 1616, 10.1007/s10350-004-7248-z Shanwani, 2010, Ligation of the intersphincteric fistula tract (LIFT): a sphincter-saving technique for fistula- in-ano, Dis Colon Rectum, 53, 39, 10.1007/DCR.0b013e3181c160c4 Ortiz, 2008, Length of follow-up after fistulotomy and fistulectomy associated with endorectal advancement flap repair for fistula in ano, Br J Surg, 95, 484, 10.1002/bjs.6023 Lupinacci, 2010, Treatment of fistula-in-ano with the Surgisis(®) AFP(™) anal fistula plug, Gastroenterol Clin Biol, 34, 549, 10.1016/j.gcb.2009.06.021 Meinero, 2011, Video-assisted anal fistula treatment (VAAFT): a novel sphincter-saving procedure for treating complex anal fistulas, Tech in Coloproctol., 10.1007/s10151-011-0769-2