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Well, anal fistula has been considered a clinical challenge for many centuries as its complicated pathogenesis. There is also a considerable amount of threat that the anal fistula will come back in long term.
When you opt for surgery, then there are chances that it might come back. This is why there is a need for a new treatment for Fistula. The new treatment for the anal fistula has to have low recurrence rates and should provide you with the best quality of life
There are some new techniques for treating anal fistula that has been developed over the course of 5 years and there are pros and cons of each technique that is based on the outcome of the technique.
There are surgeries that can treat anal fistula but what most people are looking for is the fistula treatment without surgery. Although the surgery has a healing outcome, all the functions must be weighed properly.
Among all the innovative techniques that have emerged in the reject years, there are combined techniques such as the seton and lift-plug that have proven to be sincerely effective.
Let us now move towards the advanced techniques that can provide the best treatment options:
Well, if you take into account the insufficient anal sphincter protection in the process of treatment of anal fistula by cutting the seton, the improved method of drainage seton was proposed which will form continuous drainage of fistula through the rubber band, medical thread, and other materials which are used to prevent the formation of the abscess.
Although the method of drainage seton is going to completely preserve the sphincter and reduce anal incontinence, there are some previous studies that show the long-term recurrence rate for the anal fistula.
The modifies seton has been shown that this new technique can effectively treat the anorectal fistula and high anal fistula by relocating the external part with the position between the sphincter and then and thee repairing the EAS.
This technique reduced the healing time and the number of patients who are ever going to need any kind of procedure again for anal fistula. Although this took more time for the surgery and the recovery when compared with the method of rerouting the seton with the IAS.
LIFT is one of the low-cost and effective sphincter sparing techniques that comes with a success rate of 94.4% and there is the absence of continence failures. This technique is going to ligate and it will put a cut between the sphincters that will scrape the infected tissue of the fistula wall and will tighten the fistula tract with the ligation.
It can effectively avoid repeated infections that can be caused by fecal particles. It is very important for the transsphincteric fistulas that have well-formed fistulas which include the complex anal fistulas, recurring anal fistulas, and the fistulas that will fail after the surgical procedures.
One of the limitations of the LIFT is that the healing outcome is unstable and the success rate is very low. In some tears, the LIFT has gained some popularity and improved LIFT techniques have also been proposed.
The LIFT plug method that is is an improved method by the addition of a bioprosthetic anal fistula plug that has proven to increase the rate of the healing and also shortened the time for getting recovered fully.
Even though fistulotomy is one of the most preferred techniques for the simple anal fistula treatment, the two most drawbacks of this procedure are the high incontinence rate and keyhole deformity. This sphincter sparing method has been recognized in recent years, but there is a high rate of recurrence that remains an important challenge for colorectal surgeons.
It has been put forward as an immediate procedure to repair and improve the fistulotomy that is named FIPS.
When we compare it to the conventional fistulotomy, this method is going to reduce the risk of any deformity and fecal infections. This has also been said to decrease the rate of recurrence after the surgery.
This method might be a compromise but has received attention in recent years. The therapeutic effects of this method decreased with the complexity of the anal fistula. T has also been found out that the FIPS procedure is efficient, sile, and low recurrence anal fistula therapy and that too especially for the simple anal fistula.
As there is some increasing attention that is being paid to anorectic diseases an there is and their advancements in science and technology, there are a large number of therapies that have been merged in order to process the issue of complex anal fistula.
There is no simple technique that has proven as the best new treatment for fistula, but in the future, there are a high number of high-quality clinical trials that will provide us with the best anal fistula treatment.