Related Experiment Video
Updated: Feb 20, 2026
06:12
Technical Aspects of the Mouse Aortocaval Fistula
Published on: July 11, 2013
17.5K
Video-assisted anal fistula treatment: a high volume unit initial experience
F Y Cheung1, N D Appleton1, S Rout1
1Department of General Surgery, St Helens and Knowsley Teaching Hospitals NHS Trust, Whiston Hospital , Prescot , UK.
Annals of the Royal College of Surgeons of England
|October 20, 2017
Summary
Video-assisted anal fistula treatment (VAAFT) offers a safe and effective solution for perianal fistulas. This minimally invasive approach demonstrated high success rates in a recent study, even for complex cases.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Procedures
- Gastroenterology
Background:
- Perianal fistulas represent a common and challenging clinical issue.
- Existing treatments often have limitations, particularly for complex or recurrent cases.
Purpose of the Study:
- To evaluate the initial experience and outcomes of video-assisted anal fistula treatment (VAAFT).
- To assess the safety and efficacy of VAAFT in managing established perianal fistulas.
Main Methods:
- A prospective database review of consecutive patients undergoing VAAFT.
- Analysis of follow-up data for treatment success and complications.
Main Results:
- Seventy-eight patients were treated with VAAFT between November 2014 and June 2016.
- 81% of patients reported cure (asymptomatic) after a median follow-up of 14 months.
- The procedure was performed as day cases with no reported complications, including in patients with Crohn's disease or multiple prior surgeries.
Conclusions:
- Video-assisted anal fistula treatment is a safe and effective method for managing perianal fistulas.
- VAAFT appears suitable for a broad patient population, irrespective of comorbidities, underlying pathology, or fistula type.
Related Concept Videos
01:28Endoscopic Procedures III: Video Capsule Endoscopy
948
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
948
01:25Urinary Tract Calculi VI: Surgical Management
619
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
619