What's Fistula in Ano,Pilonidal Sinus?How LASER treatment done for Fistula in Ano? скачать в хорошем качестве

What's Fistula in Ano,Pilonidal Sinus?How LASER treatment done for Fistula in Ano?

Laser treatment for fistula-in-ano, also known as FiLaCR (fistula laser closure) or LAFT (laser ablation of fistula tract), has gained increasing attention in the last decade. The procedure consists of delivering laser energy at 360° within the lumen of fistulas by means of a radial fiber which is slowly withdrawn from the external orifice. Laser ablation is limited to the lumen of fistulas making the technique ‘sphincter-saving’. Its main indication is the treatment of high fistulas and, in general, of all fistulas where more invasive treatments may impair anal continence.A few other controversial questions regarding the procedure have been raised over the years. One of the most important regards the closure of the internal opening. The addition of an advancement flap to laser treatment was proposed to close the internal orifice [1, 5]. Although we agree that it is important to treat the internal orifice, we believe that the shrinkage effect of laser on the internal opening of the fistula is sufficient to cause its sealing. Therefore, we did not add other procedures to laser. CALL9970743318 VISIT www.pilesfistulacure.com