VAAFT or Video Assisted Anal Fistula Treatment is a newer technology applied for the surgical treatment. An anal fistula is understood to be an abnormal connection found in between the anal outer skin and anal canal. Fistulas are usually occurred when the infected anal glands do burst to internal anal canal. The bursted ones will be conduit for discharge of pus to the area of the anal skin. The pus discharge gives the wet feeling at the area of anal to the patient.
Before VAAFT Procedure
Biochemical investigation is performed before the surgery takes place and patients with diabetes will be ruled out. Patients, who have crohn’s disease or tuberculosis are also ruled out.
VAAFT (Video Assisted Anal Fistula Treatment) Procedure
The technique of VAAFT is divided into two stages, called diagnostic stage and operative stage.
During the diagnostic stage, the right and accurate location of the fistula tract is identified. the fistuloscope is used to insert through the opening made externally. The scope is then advanced and the lumen is visualized directly.
The patient is initially given the anesthesia. Then, a telescope of smaller size is inserted through the fistula-in-ano outer opening. The tube is connected to the HD camera, so the inner architecture or structure can be viewed on the monitor, as it transmits the images on the HD monitor. The total length of the fistula tract is identified by viewing on the monitor and then it is removed completely, till the internal opening that is seen right from inside the wall of it and anal canal. At the same time, fistula tract branch are also identified, if these are present and then are also treated. After destruction of the fistula, the canal of fistula is cleaned, by removing the waste material. After the treatment, the internal opening will be covered with the help of the stapler or stitches. It is done to not leak the feces or stool, back to the tunnel of fistula.
Post surgery, the patients will be able to take orally after six to eight hours the procedure is performed. After the surgery is completed, the patient needs daily dressing that is done by flushing with the help of saline and also using a syringe for removing the issues that are dead from inside fistula tract healing. Patient has to make the revisits to the hospital after 15 days of the operation, followed by one month and three months.
- The surgery does not need cut to be made on the skin.
- No larger and complicated wounds present as done in the open surgery.
- The muscles that are present around, which have the function of the motion control are not damaged. So, there is no threat to lose the control the motions.
- After VAAFT is performed, the pain will be reduced to negligible.
- The fistula tract is clearly viewed and then removed and so the possibility of the re-occurrence is less after the procedure, as the whole fistula disease can be removed.
- Complete and rapid healing can be achieved in just a few days, which is much earlier than that of the surgery that needs months together to heal.
- The patient can go back to the work after a few days or weeks the surgery is completed.
- The overall cost of the operation will be reduced, as there is no need for harder and complex open surgery treatment needed.
Cost of VAAFT (Video Assisted Anal Fistula Treatment) Surgery
The above Package Cost is a tentative Approximate Package Estimate, which includes initial investigations & specialists screening, stay in a Private Room wherein patient’s assistant or relative can also stay with patient, doctor / surgeon fee, nursing care, medicines & consumables, Airport Pick-Up & Drop.
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