Our Summary
This research paper is about a new, minimally invasive treatment for fistula-in-ano, an abnormal connection between the anus and the skin, called Video-Assisted Anal Fistula Treatment (VAAFT). The researchers looked at studies from 2010 to 2016 that used VAAFT to treat fistula-in-ano. They excluded any procedures done on patients with Crohn’s disease, children, and those with related cancer.
The researchers found that VAAFT had a 76% success rate and very few complications. On average, the operation took less than an hour, patients stayed in the hospital for 1-4 days, and were able to return to work in 1-11 days. Importantly, there were no reports of worsened continence levels (the ability to control bowel movements).
In simpler terms, this paper suggests that VAAFT is a safe and effective procedure for treating fistula-in-ano. It has a high success rate and allows patients to quickly return to their normal lives with minimal complications.
FAQs
- What is Video-Assisted Anal Fistula Treatment (VAAFT)?
- What is the success rate and recovery time of VAAFT?
- Are there any reports of worsened continence levels after VAAFT surgery?
Doctor’s Tip
A helpful tip that a doctor might tell a patient about anal fistula surgery using VAAFT is to follow post-operative care instructions closely, such as keeping the area clean and dry, taking prescribed medications, and attending follow-up appointments. It is also important to avoid activities that could put strain on the surgical site, such as heavy lifting or strenuous exercise, until cleared by the doctor. By following these guidelines, patients can help ensure a successful recovery and minimize the risk of complications.
Suitable For
Typically, patients with fistula-in-ano who are not children, do not have Crohn’s disease, and do not have related cancer are recommended for anal fistula surgery such as VAAFT. These patients can benefit from the minimally invasive nature of the procedure, the high success rate, and the quick recovery time associated with VAAFT.
Timeline
Before the surgery:
- Patient experiences symptoms such as pain, swelling, discharge, and possible infection in the anal area.
- Patient undergoes physical examination and possibly imaging tests to diagnose the fistula-in-ano.
- Patient discusses treatment options with their healthcare provider, including VAAFT.
- Patient schedules the surgery and prepares by following pre-operative instructions.
After the surgery:
- Patient undergoes VAAFT procedure, which typically takes less than an hour.
- Patient stays in the hospital for 1-4 days for observation and recovery.
- Patient may experience some discomfort and swelling in the anal area post-surgery.
- Patient is able to return to work and normal activities within 1-11 days.
- Patient follows post-operative care instructions to promote healing and prevent complications.
- Patient has follow-up appointments with their healthcare provider to monitor healing and address any concerns.
What to Ask Your Doctor
Questions a patient should ask their doctor about anal fistula surgery, specifically VAAFT, could include:
- What is VAAFT and how does it differ from traditional surgery for anal fistulas?
- What are the potential risks and complications associated with VAAFT?
- What is the success rate of VAAFT in treating anal fistulas?
- How long does the VAAFT procedure typically take?
- How long can I expect to stay in the hospital after VAAFT surgery?
- What is the recovery process like after VAAFT surgery?
- Will I need to take time off work or make any lifestyle adjustments after VAAFT surgery?
- Are there any restrictions on physical activity or diet following VAAFT surgery?
- Will VAAFT affect my continence levels or ability to control bowel movements?
- Are there any alternative treatments or procedures for anal fistulas that I should consider?
Reference
Authors: Garg P, Singh P. Journal: Int J Surg. 2017 Oct;46:85-91. doi: 10.1016/j.ijsu.2017.08.582. Epub 2017 Sep 4. PMID: 28882770