{"id":6009,"date":"2025-08-07T21:26:13","date_gmt":"2025-08-07T17:56:13","guid":{"rendered":"https:\/\/iran-colorectal.com\/fistula-surgery-using-the-vaaft-technique-video-assisted-anal-fistula-treatment\/"},"modified":"2025-08-07T21:26:26","modified_gmt":"2025-08-07T17:56:26","slug":"fistula-surgery-using-the-vaaft-technique-video-assisted-anal-fistula-treatment","status":"publish","type":"page","link":"https:\/\/iran-colorectal.com\/en\/fistula-surgery-using-the-vaaft-technique-video-assisted-anal-fistula-treatment\/","title":{"rendered":"Fistula Surgery Using the VAAFT Technique (Video-Assisted Anal Fistula Treatment)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"6009\" class=\"elementor elementor-6009 elementor-4275\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-46652e0a e-flex e-con-boxed e-con e-parent\" data-id=\"46652e0a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7a984ac4 elementor-widget elementor-widget-heading\" data-id=\"7a984ac4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Fistula Surgery Using the VAAFT Technique (Video-Assisted Anal Fistula Treatment)<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3f41a76a elementor-widget elementor-widget-image\" data-id=\"3f41a76a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"900\" height=\"1600\" src=\"https:\/\/iran-colorectal.com\/wp-content\/uploads\/2018\/08\/\u062c\u0631\u0627\u062d\u06cc-\u0641\u06cc\u0633\u062a\u0648\u0644-\u0622\u0646\u0627\u0644.jpg\" class=\"attachment-full size-full wp-image-2770\" alt=\"\u062c\u0631\u0627\u062d\u06cc \u0641\u06cc\u0633\u062a\u0648\u0644 \u0622\u0646\u0627\u0644\" srcset=\"https:\/\/iran-colorectal.com\/wp-content\/uploads\/2018\/08\/\u062c\u0631\u0627\u062d\u06cc-\u0641\u06cc\u0633\u062a\u0648\u0644-\u0622\u0646\u0627\u0644.jpg 900w, https:\/\/iran-colorectal.com\/wp-content\/uploads\/2018\/08\/\u062c\u0631\u0627\u062d\u06cc-\u0641\u06cc\u0633\u062a\u0648\u0644-\u0622\u0646\u0627\u0644-169x300.jpg 169w, https:\/\/iran-colorectal.com\/wp-content\/uploads\/2018\/08\/\u062c\u0631\u0627\u062d\u06cc-\u0641\u06cc\u0633\u062a\u0648\u0644-\u0622\u0646\u0627\u0644-768x1365.jpg 768w, https:\/\/iran-colorectal.com\/wp-content\/uploads\/2018\/08\/\u062c\u0631\u0627\u062d\u06cc-\u0641\u06cc\u0633\u062a\u0648\u0644-\u0622\u0646\u0627\u0644-576x1024.jpg 576w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7b316913 elementor-widget elementor-widget-text-editor\" data-id=\"7b316913\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"166\" data-end=\"217\"><strong data-start=\"166\" data-end=\"217\">Learn More About VAAFT Surgery for Anal Fistula<\/strong><\/p>\n<p><\/p>\n<p data-start=\"219\" data-end=\"704\">Since the perianal fistula was first recognized, surgeons have continuously sought ways to treat this complex disease without damaging the anal sphincter muscles, which are essential for maintaining continence. However, due to the intricate anatomy of the perianal region and the deep, branching nature of fistulas, identifying all affected tracts is challenging. This often leads to recurrence, pushing many surgeons toward more invasive techniques that involve cutting the sphincter.<\/p>\n<p><\/p>\n<p data-start=\"706\" data-end=\"976\">Given the vital role of the anal sphincter in controlling defecation, it is crucial to prioritize sphincter-preserving methods before considering fistulotomy. Fortunately, several modern surgical techniques now offer promising results without compromising the sphincter.<\/p>\n<p><\/p>\n<p data-start=\"978\" data-end=\"1022\">Common sphincter-sparing approaches include:<\/p>\n<ul data-start=\"1024\" data-end=\"1243\">\n<li data-start=\"1024\" data-end=\"1045\">\n<p data-start=\"1026\" data-end=\"1045\"><strong data-start=\"1026\" data-end=\"1045\">Seton Placement<\/strong><\/p>\n<\/li>\n<li data-start=\"1046\" data-end=\"1101\">\n<p data-start=\"1048\" data-end=\"1101\"><strong data-start=\"1048\" data-end=\"1101\">LIFT (Ligation of Intersphincteric Fistula Tract)<\/strong><\/p>\n<\/li>\n<li data-start=\"1102\" data-end=\"1160\">\n<p data-start=\"1104\" data-end=\"1160\"><strong data-start=\"1104\" data-end=\"1160\">Advancement Flap (Mucosal-Muscle Flap of the Rectum)<\/strong><\/p>\n<\/li>\n<li data-start=\"1161\" data-end=\"1243\">\n<p data-start=\"1163\" data-end=\"1243\"><strong data-start=\"1163\" data-end=\"1195\">Use of fistula tract fillers<\/strong>, which provide a scaffold for fibroblast growth<\/p>\n<\/li>\n<\/ul>\n<p><\/p>\n<p data-start=\"1245\" data-end=\"1682\">Among the earliest materials used was <strong data-start=\"1283\" data-end=\"1298\">fibrin glue<\/strong>, though its high recurrence rate and handling difficulties have limited its popularity. Another option, the <strong data-start=\"1407\" data-end=\"1423\">fistula plug<\/strong>\u2014derived from porcine intestinal submucosa\u2014has shown a 60\u201370% success rate in Iran but is limited by its high cost. Recently, <strong data-start=\"1549\" data-end=\"1571\">biological fillers<\/strong> have been introduced and are undergoing experimental trials, although they have yet to be widely used in Iran.<\/p>\n<p><\/p>\n<p data-start=\"1684\" data-end=\"1915\">Considering the profound impact of fecal incontinence on patients\u2019 quality of life\u2014especially within the cultural context of Iran\u2014it&#8217;s essential for the surgical community to adopt sphincter-preserving strategies whenever possible.<\/p>\n<p><\/p>\n<hr data-start=\"1917\" data-end=\"1920\" \/>\n<h3 data-start=\"1922\" data-end=\"2001\"><strong data-start=\"1926\" data-end=\"2001\">VAAFT (Video-Assisted Anal Fistula Treatment): First Introduced in Iran<\/strong><\/h3>\n<p><\/p>\n<p data-start=\"2003\" data-end=\"2360\">VAAFT is a groundbreaking minimally invasive technique designed to treat complex anal fistulas while fully preserving the anal sphincter. Using a delicate 1 mm fistuloscope and a 2 mm working channel, the surgeon can directly visualize the entire fistula tract. The internal opening is then securely closed, and the entire tract is irrigated and cauterized.<\/p>\n<p><\/p>\n<p data-start=\"2362\" data-end=\"2518\">This innovative method requires <strong data-start=\"2394\" data-end=\"2429\">no cutting of sphincter muscles<\/strong>, results in <strong data-start=\"2442\" data-end=\"2465\">minimal skin trauma<\/strong>, and significantly lowers the risk of incontinence.<\/p>\n<p><\/p>\n<p data-start=\"2520\" data-end=\"2851\">Recently introduced to Iran, the VAAFT system is now available for the treatment of complex anal fistulas and pilonidal sinus disease. This modern advancement represents a major step forward in anorectal surgery and is now being performed for the first time in the country by specialists equipped with this cutting-edge technology.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5bb77a3 elementor-skin-coverflow elementor-arrows-yes elementor-widget elementor-widget-media-carousel\" data-id=\"5bb77a3\" data-element_type=\"widget\" data-e-type=\"widget\" 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without damaging the anal sphincter muscles, which are essential for maintaining continence. However, due to the intricate anatomy of the perianal region and the deep, branching nature of fistulas, identifying [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-6009","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/iran-colorectal.com\/en\/wp-json\/wp\/v2\/pages\/6009","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/iran-colorectal.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/iran-colorectal.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/iran-colorectal.com\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/iran-colorectal.com\/en\/wp-json\/wp\/v2\/comments?post=6009"}],"version-history":[{"count":3,"href":"https:\/\/iran-colorectal.com\/en\/wp-json\/wp\/v2\/pages\/6009\/revisions"}],"predecessor-version":[{"id":6012,"href":"https:\/\/iran-colorectal.com\/en\/wp-json\/wp\/v2\/pages\/6009\/revisions\/6012"}],"wp:attachment":[{"href":"https:\/\/iran-colorectal.com\/en\/wp-json\/wp\/v2\/media?parent=6009"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}