VAAFT for Fistula in Ano: A Minimally Invasive Breakthrough

An anal fistula is an abnormal tunnel that forms between the inside of the anus and the skin near the anus, usually after an anal abscess. It causes persistent discharge, pain, and recurring infections.

• ●Persistent or recurring discharge (pus or blood) near the anus
• ●Pain and swelling around the anus
• ●Skin irritation and itching
• ●Frequent anal abscesses
• ●Fever during active infection
• ●Pain during bowel movements

Simple Fistula

Superficial tracts involving minimal sphincter muscle — often treated with fistulotomy or laser fistulotomy.

Complex Fistula

Deep or high tracts involving significant sphincter muscle — require sphincter-preserving techniques like VAAFT or LIFT procedure.

VAAFT is a minimally invasive, sphincter-preserving procedure using a miniature video fistuloscope to visualise and treat the fistula tract from inside. Dr. Satish Jadhav is trained in this advanced technique.

• ●Direct visualisation of the entire fistula tract
• ●Sphincter-preserving — low incontinence risk
• ●Low recurrence rate compared to conventional surgery
• ●Daycare procedure with faster recovery
• ●Suitable for complex and recurrent fistulas

1. 1

   VAAFT (Video-Assisted)

   Gold-standard minimally invasive technique with video-guided treatment of the fistula tract.

2. 2

   Laser Fistulotomy

   Laser destroys the fistula lining with minimal damage to surrounding tissues.

3. 3

   Fistulotomy / Fistulectomy

   Surgical excision suitable for superficial, simple fistulas.

4. 4

   LIFT Procedure

   Ligation of Intersphincteric Fistula Tract — sphincter-preserving option for complex cases.

• ●Keep the area clean and dry
• ●Warm sitz baths as advised
• ●High-fibre diet to avoid constipation
• ●Complete prescribed antibiotics if given
• ●Follow-up visits to monitor healing