Fistula in ano is a frequent perianal illness that causes significant pain for the patient and has a high recurrence rate. For fistula‐in‐ano, fistulectomy has traditionally been the recommended course of treatment. However, there is a high rate of recurrence, morbidity, and sphincter incontinence after the surgery. The use of VAAFT‐video aided anal fistula treatment‐is becoming more common among a number of recent treatments. Therefore, the purpose of this research was to determine if VAAFT is more successful than traditional fistulectomy. Martial and Methods: A common perianal condition with a high recurrence rate that produces severe agony for the patient is fistula in ano. Fistulectomy has always been the advised line of therapy for fistula‐in‐ano. After the procedure, there is a significant risk of recurrence, morbidity, and sphincter incontinence. Among the many new therapies, the use of VAAFT, or video assisted anal fistula therapy, is becoming increasingly widespread. Consequently, the goal of this study was to ascertain whether VAAFT or standard fistulectomy yields better results. There was a male majority in both groups of the 60 patients chosen for the research. In group A, the male to female ratio was 6.26:2. In group B, it was 5:3. The age group of 31‐40 years old comprised the majority of patients. In group A, the median age of presentation was 38 years, whereas in group B, it was 40 years. The majority of patients had low anal fistulae, which were followed in order by individuals with high anal and anorectal fistulae. Comparing the VAAFT technique to fistulectomy, the recurrence rates were much lower. Following surgery, there were no problems and minimal postoperative discomfort. High levels of patient satisfaction were reported. Our research revealed VAAFT to be a safe and efficient technique substitute for traditional fistulectomy.
G. Divya, Pallamala Lasya and S. Soundararajan. Assessment Vaaft Versus Fistulectomy in the Management of Anorectal Fistulae: A Comparative Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.1.504.507
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.1.504.507