Doing nothing - Drainage seton can be left in place long-term to prevent problems. This is the safest option although it does not definitively cure the fistula. Lay-open of fistula-in-ano - this option involves an operation to cut the fistula open. Cutting seton - if the fistula is in a high position and it passes through a significant portion of the sphincter muscle, a cutting seton may be used. Seton stitch - a length of suture material looped through the fistula which keeps it open and allows pus to drain out. Fistulotomy - till anorectal ring Colostomy - to allow healing Fibrin glue injection is a method explored in recent years, with variable success. It involves injecting the fistula with a biodegradable glue which should, in theory, close the fistula from the inside out, and let it heal naturally.
Fistula plug involves plugging the fistula with a device made from small intestinal submucosa. Endorectal advancement flap is a procedure in which the internal opening of the fistula is identified and a flap of mucosal tissue is cut around the opening. Success rates are variable and high recurrence rates. LIFT Technique - It is a novel modified approach through the intersphincteric plane for the treatment of fistula-in-ano, VAAFT Technique: This technique involves use of an endoscope, we are seeking global co-operation agents for our products. |