FISTULA-IN-ANO TREATMENT WITH LASER
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 30
Abstract
BACKGROUND Fistula laser closure is a novel sphincter-saving procedure for the treatment of anal fistula. The closure of fistula track is done by using laser energy emitted by a radial fibre connected to a diode laser which causes destruction of the tissue around the radial fibre leading to closure of the track. METHODS The surgical procedure consisted of ‘sealing’ the fistula by laser energy. The primary end-point was cure of the disease and evaluation of morbidity. Ten patients with anal fistula underwent the procedure. They had either a primary or a recurrent transsphincteric anal fistula, a previously placed seton or a fistula involving a significant portion of the sphincter with a potential risk of postoperative incontinence on fistulotomy. RESULTS The median operation time was 20 (6-35) minutes. No intra-operative complications were reported. Median duration of follow up was 20 (3-36) months. Primary healing was observed in seven patients (70%). There were three (30%) failures with three recurrences at 3 and 6 months after the operation. No patient reported incontinence postoperatively. CONCLUSIONS Laser procedure for fistula-in-ano is a safe, relatively simple, minimally invasive, sphincter saving procedure with a high chance of success.
Authors and Affiliations
Adarsh M. Patil, Gaurav Prasad
Keywords
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- EP ID EP670384
- DOI 10.18410/jebmh/2019/422
- Views 82
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