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New Indian Journal of Surgery

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A Prospective Study on treatment of Perianal Fistula by Video Assisted Anal Fistula Treatment (VAAFT)

Ramkrishna Darji, Assistant Professor, B/1 Indraprastha Bunglows, Ebola road Aburoad Highway, Hanuman tekari palanpur - 385001 Gujarat. , Ramkrishna Darjia , Samir M. Shahb , Vikram B. Gohilc , Ramesh Kumar Vermad

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New Indian Journal of Surgery 8(3):p 373-376, Jul-Sep 2017. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8317.13

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Abstract

Background: Video-assisted anal fistula treatment (VAAFT) is a novel minimally invasive and sphinctersaving technique for treating complex fistulas. The present study was planned with an objective to asses the late post operative complications (discharge and recurrence), outcome with VAAFT technique day care, sphincter saving procedure in management of peri anal fistula. Methodology: The present prospective study was conducted on 50 patients of Perianal fistula admitted in Sir T General Hospital, Bhavnagar during September 2015 to September 2016. All of them underwent Video Assisted Anal Fistula Treatment (VAAFT) and were followed up immediately post operatively for pain and wound infection. They were also followed after 1 month and 3 months for pain/ discomfort on defecation. Results: 26 (52%) patients had intersphincteric fistula, 20(40%) had transphincteric fistula while 4(8%) had sinus track. The cure rate was 94%. Median operating time was 35 minutes; mean pain score on the day of surgery was 5.3. Six (12%) patients had serous discharge on 15th day while only 3 (6%) patients had on 3 month follow up. On 3 month follow up, 47 (94%) patients having healed external opening. Recurrence was found in 3(6%) patients and no patient had complaint regarding stool incontinence on 3 month follow up. Conclusion: The advantages from the present study showed no surgical wound on the perianal region, hospital stay for 1 day, and higher cure rate at three month follow-up with low recurrence rate. The patient does not have postoperative problems with faecal incontinence.

 

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8317.13

Keywords

Perianal Fistula; Video Assisted Anal Fistula Treatment (VAAFT); Recurrence. 

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