{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T10:46:16Z","timestamp":1789469176882,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,2,27]],"date-time":"2020-02-27T00:00:00Z","timestamp":1582761600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>This prospective study aimed to evaluate the safety and efficacy of video\u2010assisted anal fistula treatment (VAAFT) in complex fistula\u2010in\u2010ano (FIA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Consecutive patients presenting with complex FIA were recruited between November 2012 and November 2018. The primary outcome was healing of the fistula.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy\u2010two patients were included, 39 (54%) of whom were men, with a mean age of 46 (\u00b111) years. The mean follow\u2010up was 32 (\u00b118) months. Complete healing was achieved in 64 (89%) patients. When persistent and recurrent cases were considered together, the failure rate was 21% and the success rate 79%. When patients failed, they were offered VAAFT again, after which there was an in increase in the healing rate, which overall (primary and secondary) was 86%. There was no statistically significant deterioration in continence. Eight (11%) patients experienced postoperative complications which required no additional surgical intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>VAAFT represents a promising, sphincter\u2010saving technique for the treatment of complex FIA. It has proved efficacious, with 79% of patients achieving complete healing after its primary application. After a second use, this reached 86%. The main advantage of VAAFT compared with other sphincter\u2010saving techniques is working under direct vision. VAAFT has a good safety profile with 11% of patients experiencing minor complications, and there is no effect on continence.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.15005","type":"journal-article","created":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T02:55:37Z","timestamp":1581044137000},"page":"939-944","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Video\u2010assisted anal fistula treatment for complex anal fistula: a long\u2010term follow\u2010up study"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7724-7114","authenticated-orcid":false,"given":"G.","family":"Giarratano","sequence":"first","affiliation":[{"name":"Department of General Surgery Casa di Cura Nuova Itor Rome Italy"},{"name":"Department of General Surgery University of Rome Tor Vergata Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0358-2398","authenticated-orcid":false,"given":"M.","family":"Shalaby","sequence":"additional","affiliation":[{"name":"Department of General Surgery Mansoura University Mansoura Egypt"},{"name":"Department of General Surgery UOC C Policlinico Tor Vergata University Hospital Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1705-8981","authenticated-orcid":false,"given":"C.","family":"Toscana","sequence":"additional","affiliation":[{"name":"Department of General Surgery Casa di Cura Nuova Itor Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1585-2447","authenticated-orcid":false,"given":"P.","family":"Sileri","sequence":"additional","affiliation":[{"name":"Department of General Surgery University of Rome Tor Vergata Rome Italy"},{"name":"Department of General Surgery UOC C Policlinico Tor Vergata University Hospital Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,2,27]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000733"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000001416"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2019.0057"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2018.10.055"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12224"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-011-0769-2"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-011-0726-0"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-017-5905-2"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800630102"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2012.08.012"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181b13ca2"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02050307"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000082"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.14531"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-011-0676-6"},{"key":"e_1_2_8_17_1","first-page":"581","article-title":"Total anal sphincter saving technique for fistula\u2010in\u2010ano; 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