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Video-Assisted Anal Fistula Treatment (VAAFT) for Complex Perianal Fistulae with Long-Term Follow-Up
Muhammed Amir1, Fareeha Farooqui1, Sehrish Latif1
1Department of Surgery, Shifa College of Medicine, Shifa Tameer e Millat University, Islamabad, Pakistan.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|September 15, 2025
Summary
Video-assisted anal fistula treatment (VAAFT) shows promising outcomes for complex perianal fistulae, with low recurrence rates. This study evaluated VAAFT
Area of Science:
- Colorectal Surgery
- Minimally Invasive Procedures
- Gastroenterology
Background:
- Complex perianal fistulae present a significant clinical challenge.
- Recurrence and complications are common with traditional treatments.
- Video-assisted anal fistula treatment (VAAFT) offers a minimally invasive approach.
Purpose of the Study:
- To assess the clinical effectiveness of VAAFT for complex perianal fistulae.
- To analyze complication rates and recovery patterns following VAAFT.
- To determine the long-term recurrence rates after VAAFT.
Main Methods:
- A non-randomized observational study was conducted.
- 171 patients with complex perianal fistulae underwent VAAFT.
- Postoperative follow-up included assessments at six weeks, six months, and annually.
Main Results:
- The study included 171 patients, with a mean age of 41.73 years.
- 53.2% of patients had recurrent disease prior to VAAFT.
- Persistent discharge was observed in 11.6% at six months, and recurrence at two years was 17.9%.
Conclusions:
- VAAFT demonstrates favorable outcomes in managing complex perianal fistulae.
- The recurrence rate observed in this study is encouraging.
- VAAFT is a viable option for complex anal fistula treatment.
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