Background: Video-assisted anal fistula treatment is a new method used for
treatment of complex perianal fistula with maximal sparing of sphincter
muscles and prevention of false route. Authors inform about their experience
and operative results. Aims: Our aim was to verify feasibility of the method,
help in internal opening identification and define its position in our
management of perianal fistulas. Methods: Patients with chronic
fistula-in-ano of IBD and non-IBD benign etiology were enrolled. Anoscopy
with fistuloscopy was attempted in all patients followed by loose seton
drainage or other procedure. Results: Fistuloscopy was attempted in 30
patients, finished in 93% and internal opening was found in 67%. No
procedure-related morbidity was observed. Conclusion: Fistuloscopy alone is
feasible for diagnosing type of IBD and non-IBD fistulas. VAAFT technique and
instruments were helpful for identification of an internal opening in most
cases. As such it has established role in our management of fistula-in-ano.