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I will tell a story about a medical case. A patient came to me from Iraq to Dubai. He has a Complex Anal Fistula. The length of the fistula was more than 14 cm The Fistula penetrates the anal muscle The muscle that controls the passage of gas and stool The patient told me that he reviewed several doctors for surgeries. But he has not yet been decided because because of the possibility of muscle injury Thus, the possibility of losing control of the exit of stool and gas. I studied his condition, as he brought the lab tests and pictures. I suggested a laparoscopic surgery With the injection of biological materials that we take from the patient's own blood and turn them into a "gel." The operation needs to be carried out by an expert Where the endoscope enters from the external opening to the internal opening The internal opening is first closed, and then biological materials are injected into the fistula. The operation succeeded And after 3 and 6 months of follow-up Completely cleared the case And the patient sent me a bouquet of roses, it made me very happy ===== Dr. Khaldoun Ghareb - #Dubai. #Proctologist, Spain surgical certified. Fellow of American College Surgeons. #Hemorrhoids treatment expert, and all other anal diseases by: #Laser #Doppler #Endoscopes