The success of Laser Ablation of Fistula Tract (LAFT) Technique in Anal Fistula Treatment: Early results of a tertiary center.

Authors : Ismail TARIM, Murat DEREBEY, Can AKGÜN, Vahit MUTLU, Fatih ATALAY, Ayfer POLAT

Pages : 192-196

View : 45 | Download : 11

Publication Date : 2021-04-03

Article Type : Research Paper

Abstract :Laser Ablation of the Fistula Tract insert ignore into journalissuearticles values(LAFT); is a newly defined technique for anal fistula treatment. Our aim in this study is to evaluate the effectiveness of the LAFT technique and to discuss the precise indications and limitations of the technique by sharing our own truths and mistakes over our early results. All patients with anal fistulas who were treated LAFT tecnique by same team from April 2019 until March 2020 at the our center, were evaluated in this study, retrospectively. While the patients who failed LAFT were included in the `Reccurrence after LAFT` group, the patients with successful LAFT were included in the `Healing` group. Differences between the groups were investigated. LAFT technique was applied to 19 patients in the specified period. Twelve insert ignore into journalissuearticles values(63%); of the cases were male and 7 insert ignore into journalissuearticles values(37%); were female, and the mean age was 45 ± 14.5. The mean postoperative follow-up time was 13 ± 3.4 months. 11 cases had undergone surgery at least once with the diagnosis of anal fistula. Loose seton was applied in only 4 insert ignore into journalissuearticles values(25%); cases. It was observed that only 7 insert ignore into journalissuearticles values(37%); patients recovered with the LAFT technique insert ignore into journalissuearticles values(Table 1);. LAFT was found to be more successful in patients who had never been operated before insert ignore into journalissuearticles values(p = 0.048, Table 2);. In conclusion, LAFT technique is more successful in primary anal fistula cases and this technique should definitely be among the surgical options for anal fistula treatment.
Keywords : Laser Ablation of the Fistula Tract, anal fistula, LAFT, fecal continence

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