There are at times when you opt for the surgery and the anal fistula is going to return again. Well, the ideal treatment for the anal fistula must be with a low recurrence. Thus you can get a good quality of life.
As there is a risk of change in the traditional techniques, there are new treatments for fistula that have been evaluated. There are pros and cons of each technique that are based on all the clinical outcomes.
Well, most of the time surgery is considered to be the main method for treating the anal fistula. There is no simple technique that will be able to heal the complex anal fistula. With the healing outcome and treatment, the protection of anal function is very significant.
In recent years, there have been some new treatments that have been on the rise. Well. Seton and LIFT-plug seem to be one of the effective therapies
Table of Contents
Let us now see the new treatment for fistula:
Modified seton:
Well, when we take into account the anal sphincter protection during the anal treatment of anal fistula by cutting the seton. This is considered to be the preliminary improvement method of drainage seton. This is going to form continuous drainage of the fistula with the help of the medical thread, a rubber band, or other materials to prevent the forming of the abscess.
Well, the drainage seton completely preserves the sphincter and then reduces the anal incontinence, there are studies that show that the long-term recurrence rates for the complex anal fistula were up to 80%.
Technique that can effectively treat
This is the technique that can effectively treat the anal fistula by relocating the fistula of the external part to the position between the sprinter and repairing the EAS fast. There was also an implementation of the random trial to compare the clinical outcomes between the separate drainage seton and the drainage seton that is combined with the rerouting of the fistula tract.
The results showed that there were no significant differences in the recurrence rates and compilation between the two groups. It was also noted that the combined technique reduced the healing time and the number of patients who required any kind of secondary surgery.
It was found that triple therapy can significantly reduce fecal incontinence. But it took more time for the surgery and recovery when compared with the method of rerouting the seton.
Well, in short after the gradual improvement, the seton-based techniques such as pulling the seton rerouting the seton around the combined EAS with the
advancement flap has become a more efficient method for the high anal fistula treatment that is compared with the traditional method of seton.
Modified LIFT:
Well, LIFT is an effective and low-cost sphincter sparing technique that was introduced with a success rate of over 94% And the absence of continence failures. The LIFT technique will help in ligation and will cut the fistula between the sphincters.
The technique is going to scrape the infected tissues of the fistula wall and tighten the fistula tract with the ligation that can effectively avoid the infection that occurs repeatedly by the fecal particles.
There is a limitation in the LIFT method that its healing is quite unstable. There are some studies that have shown that the success rate is only about 50%. It was also suggested that the horseshoe fistulas. Crohn’s disease, and previous fistula surgery are the predictors of the LIFT failure.
There was a report that was published in 2013 which tracked the long term results after the successful LIFT treatment. It was concluded that the long anal tracts were the part of the failures.
LIFT technique
In order to improve the method of LIFT technique. The medicalization of the external opening to the wound was suggested as one of the best and corrective measures. If there are LIFT failure cases. It was also indicated that the placement of the seton that is followed by the fistulotomy. The rectal advancement flap can treat 50 % percent of the patients who suffered LIFT failures.
In recent years, the technique of LIFT as the new treatment for fistula has gained popularity around the globe. There are some improved techniques that are based on the LIFT that have been proposed.
There was another modified LIFT procedure that was carried out by the on who performed. LIFT was lateral procedure that cuts along the fistula. From the external opening until the sphincter space is exposed. And the logation is undertaken near the internal anal sphincter that is followed by the removal of the ligated part.
Basedon he studes it was concluded that the LIFT plug. The BioLIFT were two alternative solutions for the treatment of the anal fistula. Also, there are some improved advantages of the latest techniques that need more studies and information.
Thus, these are some of the new treatments for fistula that can be effective.
