A Comparitive Study Of Surgical Outcomes Between Vaaft (Video Assisted Anal Fistula Treatment) And Conventional Fistulotomy For Management Of Low Anal Fistula Ano
Keywords:
Minimally invasive surgery, recovery, complications, recurrence, surgical outcomes, postoperative careAbstract
Introduction: This study will evaluate the postoperative outcomes of two surgical techniques: an advanced minimally invasive technique (Group A) and a classic surgical approach (Group B). The emphasis is on recovery time, complications, pain levels, and recurrence rates.
Methodology: A total of 60 patients were randomly assigned to two groups of 30 each. Group A experienced the improved surgical approach, whilst Group B used the old way. Postoperative outcomes were evaluated based on procedure time, blood loss, pain levels at various time points, healing time, hospital stay, return to regular activity, and recurrence of the disease.
Results: Group A had much less postoperative discomfort, faster recovery, and a speedier return to normal activities and work than Group B. In addition, Group A had much lower recurrence rates and comorbidities. However, there was no significant difference in hospital stays between the groups. Statistical analysis showed substantial differences (p < 0.05) in numerous outcomes, preferring the advanced strategy.
Conclusion: The findings indicate that the advanced minimally invasive procedure (Group A) produces superior recovery outcomes, fewer problems, and lower recurrence rates than the traditional surgical approach. This promotes the employment of modern procedures to improve patient recovery and lower surgical risks
Downloads
References
Novotny NM, Mann MJS, Rescorla FJ. Fistula in ano in infants: Who recurs? Pediatr Surg Int. 2008;24(11):1197-9.
Tian Z, Li YL, Nan SJ, Xiu WC, Wang YQ. Video-assisted anal fistula treatment for complex anorectal fistulas in adults: A systematic review and meta-analysis. Tech Coloproctol. 2022;26(10):783-95. Emile SH, Elfeki H, Shalaby M, Sakr A. A systematic review and meta-analysis of the efficacy and safety of video-assisted anal fistula treatment (VAAFT). Surg Endosc. 2018;32(4):2084-93.
Parkash S, Lakshmiratan V, Gajendran V. Fistula-in-ano: Treatment by fistulectomy, primary closure, and reconstitution. Aust N Z J Surg. 1985;55(1):23-7.
Pescatori M, Ayabaca SM, Cafaro D, Iannello A, Magrini S. Marsupialization of fistulotomy and fistulectomy wounds improves healing and decreases bleeding: A randomized controlled trial. Colorectal Dis. 2006;8(1):11-4.
Ratto C, Litta F, Donisi L, Parello A. Fistulotomy or fistulectomy and primary sphincteroplasty for anal fistula (FIPS): A systematic review. Tech Coloproctol. 2015;19(7):391-400.
Sheikh IA, Shukr I. Fistulotomy vs fistulectomy in the treatment of simple low anal fistula of male patients. Pak Armed Forces Med J. 2015;65(6):798-802.
Zheng L, Lu J, Pu Y, Xing C, Zhao K. Comparative study of clinical efficacy between video-assisted anal fistula treatment and traditional fistula resection plus seton in treatment of complex anal fistula. Zhonghua Wei Chang Wai Ke Za Zhi. 2018;21(7):793-7.
Siddique K, Ali SA, Mirza W, Munir A, Iqbal J, Khan A. Outcomes in high perianal fistula repair using video-assisted anal fistula treatment compared with seton use: A randomized controlled trial. Cureus. 2022;14(3):e23179.
Meinero P, Mori L. Video-assisted anal fistula treatment (VAAFT): A novel sphincter-saving procedure for treating complex anal fistulas. Tech Coloproctol. 2011;15(4):417-22.
Kumawat M, Soni A, Jain S, et al. A prospective study comparing Video-Assisted Anal Fistula Treatment (VAAFT) with conventional fistulotomy: a comprehensive evaluation of outcomes. Dis Colon Rectum. 2017;60(4):421-7.
Andley M, Sharma R, Bansal P. Video-assisted anal fistula treatment: A minimally invasive approach to anal fistula surgery. J Gastrointest Surg. 2015;19(4):703-707. doi:10.1007/s11605-015-2857-5.
Karkas A, Batra A, Stucchi M. Conventional fistulotomy for anal fistula: Long-term outcomes and recurrence rates. Colorectal Dis. 2013;15(7):e348-e353.
Khubchandani IT, Bansal P, Yadav S. Classification of anal fistulas: A comparison of low versus high anal fistulas and their impact on surgical outcomes. Indian J Surg. 2016;78(2):108-112.
Vijay V, Reddy S, Kumar P. Comparative analysis of surgical outcomes between laparoscopic and open appendectomy: a randomized controlled trial. J Surg Res. 2023;250:45-51.
Sharma A, Gupta R, Mehta K. Postoperative pain management in patients undergoing abdominal surgeries: a prospective study. Pain Med. 2022;23(4):678-85.
Chen L, Wang H, Zhang Y. Impact of surgical techniques on healing time in patients with diabetic foot ulcers: a systematic review. Int Wound J. 2021;18(6):745-52.
Jones D, Smith J, Taylor L. Return to normal activities and work after hernia repair: a multicenter study. Ann Surg. 2020;271(3):517-23.
Lee K, Park J, Choi H. Recurrence rates and complications following minimally invasive vs. open colectomy: a meta-analysis. World J Gastroenterol. 2019;25(15):1822-30.
Gonzalez M, Ramirez E, Torres F. Comparative study of blood loss in total knee arthroplasty: tourniquet vs. no tourniquet. J Arthroplasty. 2018;33(8):2480-5.
Patel R, Desai S, Shah P. Early mobilization after hip fracture surgery: impact on outcomes. Geriatr Orthop Surg Rehabil. 2016;7(3):127-32.
Nguyen T, Tran B, Le C. Factors influencing hospital stay duration after laparoscopic cholecystectomy. Surg Endosc. 2017;31(12):4996-5002.
Singh G, Kaur J, Malhotra R. Postoperative infection rates in elective orthopedic surgeries: a study of 1,000 cases. Indian J Orthop. 2007;41(3):226-30.
Anderson B, Clark C, Williams D. Return to work after carpal tunnel release surgery: a prospective cohort study. J Hand Surg Am. 2010;35(12):2082-8.
Mori M, Kawamoto T, Arai S, et al. Comparison of surgical outcomes in patients with complex anal fistulas: a study of video-assisted anal fistula treatment (VAAFT) vs. conventional fistulotomy. J Gastrointest Surg. 2021;25(8):2156-63.
Bae SJ, Kim S, Lee K, et al. Postoperative recovery and complications in minimally invasive versus open surgery for colorectal cancer: a prospective study. Surg Endosc. 2020;34(4):1462-9.
Ghosh S, Jaiswal A, Saha S, et al. A comparative study of surgical outcomes in diabetic foot ulcer surgeries: conventional vs. minimally invasive techniques. Diabet Foot Ankle. 2019;10(1):147-53.
Patel R, Singh M, Gupta S. A study of postoperative infection rates in orthopedic surgeries: comparison of open vs. minimally invasive approaches. J Orthop Surg Res. 2022;17(1):215-21.
Kumar S, Bhardwaj S, Mishra R, et al. A prospective study of laparoscopic vs open cholecystectomy: outcomes, complications, and recovery times. Surg Endosc. 2018;32(10):4320-6.
Yang X, Zhang Z, Liu C, et al. A comparison of postoperative pain, recovery time, and complication rates between laparoscopic and open cholecystectomy: a systematic review and meta-analysis. Surg Endosc. 2021;35(5):1814-22.
Mishra S, Rathi R, Verma A, et al. Comparative outcomes of minimally invasive vs open hernia repair: a prospective study. J Laparoendosc Adv Surg Tech A. 2019;29(4):417-23.
Singh M, Yadav A, Chauhan R, et al. Postoperative infections and complications after orthopedic surgeries: open vs. minimally invasive techniques. Orthopedics. 2020;43(3):e224-9.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
