Abstract
Video-assisted anal fistula treatment (VAAFT) technique is based on a new concept of addressing anal fistulas. The innovative points of VAAFT are the endoluminal approach and the complete execution of the procedure under direct vision. This approach makes preoperative diagnostic work and classification of the fistula unnecessary. A dedicated fistuloscope allows exploration of the fistula tract and precise location of the internal opening followed by the destruction of the fistula walls and the closure of the anorectal opening. The result is a minimally invasive approach that does not affect anal sphincter integrity. The main technical steps and preliminary results are presented.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Ritchie RD, Sackier JM, Hodde JP. Incontinence rates after cutting seton treatment for anal fistula. Colorectal Dis. 2009;11(6):564–71.
Blumetti J, Abcarian A, Quinteros F, Chaudhry V, Prasad L, Abcarian H. Evolution of treatment of fistula in ano. World J Surg. 2012;36(5):1162–7.
van Onkelen RS, Gosselink MP, Schouten WR. Is it possible to improve the outcome of transanal advancement flap repair for high transsphincteric fistulas by additional ligation of the intersphincteric fistula tract? Dis Colon Rectum. 2012;55(2):163–6.
Han JG, Yi BQ, Wang ZJ, Zheng Y, Cui JJ, Yu XQ, Zhao BC, Yang XQ. Ligation of the intersphincteric fistula tract plus bioprosthetic anal fistula plug (LIFT-Plug): a new technique for fistula-in-ano. Colorectal Dis. 2013;15(5):582–6. doi:10.1111/codi.12062.
Meinero P, Mori L. Video-assisted anal fistula treatment (VAAFT): a novel sphincter-saving procedure for treating complex anal fistulas. Tech Coloproctol. 2011;15(4):417–22.
Schwandner O. Video-assisted anal fistula treatment (VAAFT) combined with advancement flap repair in Crohn’s disease. Tech Coloproctol. 2012;17(2):221–5.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media New York
About this chapter
Cite this chapter
Meinero, P., Mori, L. (2014). Video-Assisted Anal Fistula Treatment (VAAFT). In: Abcarian, H. (eds) Anal Fistula. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9014-2_17
Download citation
DOI: https://doi.org/10.1007/978-1-4614-9014-2_17
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-9013-5
Online ISBN: 978-1-4614-9014-2
eBook Packages: MedicineMedicine (R0)