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www.vaaft.com Video Assisted Anal Fistula Treatment Video-assisted anal fistula treatment (VAAFT) is a novel minimally invasive and sphincter-saving technique for treating complex fistulas. Karl Storz Video Equipment is used. Key steps are visualization of the fistula tract using the fistuloscope, correct localization of the internal fistula opening under direct vision, endoscopic treatment of the fistula and closure of the internal opening using a stapler or cutaneous-mucosal flap. Diagnostic fistuloscopy under irrigation is followed by an operative phase of fulguration of the fistula tract, closure of the internal opening and suture reinforcement with fibrin thrombin glue. The main feature of the VAAFT technique is that the procedure is performed entirely under direct endoluminal vision. With this approach, the internal opening can be found in 82.6% of cases. Moreover, fistuloscopy helps to identify any possible secondary tracts or chronic abscesses. The VAAFT technique is sphincter-saving, and the surgical wounds are extremely small. Advantage •Non Invasive little pain, early recovery back to work quickly •If Failure can be used again •Very Low risk of incontinence •Very good Minimally Invasive approach for complex deep seated abscesses and fistulas esp Crohn’s Fistulas •VAAFT can be combined with any other technique like Seton and standard open surgical Method by being able to directly visualize and reach high internal opening Disadvantage •Risk of reopening of internal Fistula opening •Risk of Recurrence and Multiple Surgeries