caa a22 4500 606246789 CHVBK 20210128101342.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-013-0977-2 doi (NATIONALLICENCE)springer-10.1007/s12262-013-0977-2 Minimally Invasive Anal Fistula Treatment (MAFT)—An Appraisal of Early Results in 416 Patients [Elektronische Daten] [P. Chowbey, R. Khullar, A. Sharma, V. Soni, K. Najma, M. Baijal] Minimally invasive anal fistula treatment (MAFT) was introduced to minimize early postoperative morbidity, preserve sphincter continence, and reduce recurrence. We report our early experience with MAFT in 416 patients. Preoperative MRI was performed in 150 patients initially and subsequently thereafter. The technique involves fistuloscope-aided localization of internal fistula opening, examination and fulguration of all fistula tracks, and secure stapled closure of internal fistula opening within anal canal/rectum. MAFT was performed as day-care procedure in 391 patients (93.9%). During surgery, internal fistula opening could not be located in 100 patients (24%). Seven patients required readmission to hospital. Mean visual analog scale scores for pain on discharge and at 1week were 3.1 (1-6) and 1.6 (0-3), respectively. Mean duration for return to normal activity was 3.2days (2-11days). Fistula recurrence was observed in 35/134 patients (26.1%) at 1year follow-up. MAFT may be performed as day-care procedure with benefits of less pain, absence of perianal wounds, faster recovery, and preservation of sphincter continence. However, long-term results from more centers are needed especially for recurrence. Association of Surgeons of India, 2013 Minimally invasive anal fistula treatment (MAFT) nationallicence Video-assisted anal fistula treatment (VAAFT) nationallicence Fistuloscope nationallicence Anal fistula nationallicence Internal fistula opening nationallicence External fistula opening nationallicence Chowbey P. Max Institute of Minimal Access, Metabolic & Bariatric Surgery Max Healthcare Institute Ltd, 1-2, Press Enclave Road, 110017, New Delhi, Saket, India aut Khullar R. Max Institute of Minimal Access, Metabolic & Bariatric Surgery Max Healthcare Institute Ltd, 1-2, Press Enclave Road, 110017, New Delhi, Saket, India aut Sharma A. Max Institute of Minimal Access, Metabolic & Bariatric Surgery Max Healthcare Institute Ltd, 1-2, Press Enclave Road, 110017, New Delhi, Saket, India aut Soni V. Max Institute of Minimal Access, Metabolic & Bariatric Surgery Max Healthcare Institute Ltd, 1-2, Press Enclave Road, 110017, New Delhi, Saket, India aut Najma K. Max Institute of Minimal Access, Metabolic & Bariatric Surgery Max Healthcare Institute Ltd, 1-2, Press Enclave Road, 110017, New Delhi, Saket, India aut Baijal M. Max Institute of Minimal Access, Metabolic & Bariatric Surgery Max Healthcare Institute Ltd, 1-2, Press Enclave Road, 110017, New Delhi, Saket, India aut Indian Journal of Surgery Springer India 77(2015-12-01), 716-721 0972-2068 77<716 2015 77 12262 https://doi.org/10.1007/s12262-013-0977-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-013-0977-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Chowbey P. Max Institute of Minimal Access, Metabolic & Bariatric Surgery Max Healthcare Institute Ltd, 1-2, Press Enclave Road, 110017, New Delhi, Saket, India aut NATIONALLICENCE 700 1- Khullar R. Max Institute of Minimal Access, Metabolic & Bariatric Surgery Max Healthcare Institute Ltd, 1-2, Press Enclave Road, 110017, New Delhi, Saket, India aut NATIONALLICENCE 700 1- Sharma A. Max Institute of Minimal Access, Metabolic & Bariatric Surgery Max Healthcare Institute Ltd, 1-2, Press Enclave Road, 110017, New Delhi, Saket, India aut NATIONALLICENCE 700 1- Soni V. Max Institute of Minimal Access, Metabolic & Bariatric Surgery Max Healthcare Institute Ltd, 1-2, Press Enclave Road, 110017, New Delhi, Saket, India aut NATIONALLICENCE 700 1- Najma K. Max Institute of Minimal Access, Metabolic & Bariatric Surgery Max Healthcare Institute Ltd, 1-2, Press Enclave Road, 110017, New Delhi, Saket, India aut NATIONALLICENCE 700 1- Baijal M. Max Institute of Minimal Access, Metabolic & Bariatric Surgery Max Healthcare Institute Ltd, 1-2, Press Enclave Road, 110017, New Delhi, Saket, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 716-721 0972-2068 77<716 2015 77 12262