[0:00]So anal fistula treatment anal fistula treatment. Simple intersphincteric fistulas, very low transsphincteric fistulas, fistulotomy or fistulectomy is done so that the recurrence rate will be very low.
[0:22]When there are complex fistulas and the muscle is involved more, we remove the entire fistula tract and do a sphincter repair to prevent incontinence.
[0:32]Without the need for a sphincter repair, lately we have procedures like laser, LIFT, and VAAFT.
[0:41]In these, without any sphincter damage, we simply burn the fistula tract through endoscopic technique or radial laser fiber, and close the internal opening.
[0:52]However, in procedures where the entire fistula is removed through fistulotomy or fistulectomy, the recurrence rate is very low.
[0:58]In these LASER VAAFT techniques, we have only a 70% healing rate and a 30% recurrence rate.
[1:06]So, depending on the type of fistula, sometimes we also do a hybrid procedure.
[1:10]That is, we remove the fistula tract up to the sphincter, and burn the extra-sphincteric tract with a laser.
[1:17]So, in this way, we tailor the procedure according to the case and the type of fistula.
