How VAAFT Reduces Recurrence in Complex Anal Fistulas

Complex anal fistulas are challenging to treat due to their deep tracts, branching pathways, and proximity to sensitive structures like the anal sphincter. Traditional surgical techniques often carry a high risk of recurrence or complications such as incontinence. At DRHC Dubai, we utilize advanced techniques like VAAFT (Video-Assisted Anal Fistula Treatment) to ensure effective healing with significantly reduced chances of recurrence.

What is VAAFT?

VAAFT is a minimally invasive surgical procedure designed for treating complex anal fistulas. It uses an endoscopic approach to visualize and clean the fistula tract from the inside, allowing the surgeon to close the internal opening precisely while preserving surrounding tissues and sphincter function.

Developed in Italy, VAAFT has become an internationally recognized technique for managing even the most difficult fistula cases.

Why Do Complex Anal Fistulas Recur?

Before understanding how VAAFT helps, it's essential to know why traditional methods sometimes fail:

Incomplete removal or identification of fistula branches
Missed internal opening, leading to persistent infection
Excessive tissue damage, impairing wound healing
Damage to the anal sphincter, causing complications
Inadequate drainage of abscesses or secondary tracts

These issues can result in chronic infection and repeated surgeries.

How VAAFT Reduces Recurrence

VAAFT addresses the root causes of recurrence using several advanced features:

1. Direct Visualization

Using a fistuloscope, the surgeon directly visualizes the entire fistula tract and its branches. This ensures:

No hidden tracts are missed
The precise location of the internal opening
Real-time inspection for proper cleaning

2. Targeted Debridement

VAAFT uses a unipolar electrode to clean the fistula from the inside. Unlike traditional cutting methods, this approach:

Preserves healthy tissue
Removes only the infected lining
Prevents formation of new tracts or abscesses

3. Closure of Internal Opening

Once the tract is cleared, the internal opening is closed using:

Mucosal advancement flap
Staplers
Sutures or sealants

Sealing the internal opening effectively cuts off the source of infection, significantly lowering the chance of recurrence.

4. Preservation of the Anal Sphincter

VAAFT is sphincter-sparing, meaning there is:

No cutting of muscle
No compromise incontinence
This is crucial in reducing long-term complications and promoting complete healing.

5. Minimal Invasiveness

Because VAAFT doesn’t involve wide excisions:

Healing is faster
Postoperative pain is less
The risk of wound infection is reduced

This improves patient compliance and reduces the chance of delayed healing—a common factor in recurrence.

Clinical Evidence Supporting VAAFT

Several studies have shown that VAAFT has:

Success rates ranging from 70% to 90%
Recurrence rates are significantly lower than conventional fistulotomy or seton techniques
A low complication profile, particularly regarding fecal incontinence

At DRHC Dubai, our experienced colorectal surgeons combine VAAFT with thorough preoperative imaging (like MRI) and individualized care protocols, further optimizing outcomes.

Ideal Candidates for VAAFT

VAAFT is particularly effective for:

High or complex anal fistulas
Recurrent fistulas after failed previous surgery
Fistulas associated with Crohn’s disease (with precautions)
Patients concerned about sphincter damage and incontinence

Postoperative Care and Follow-Up at DRHC Dubai

Our team provides:

Personalized wound care plans
Follow-up imaging when needed
Guidance on diet and bowel habits
Monitoring for early signs of recurrence

We believe that patient education and long-term monitoring are key components in maintaining success after VAAFT.

Conclusion

VAAFT is a revolutionary technique that reduces recurrence in complex anal fistulas by offering precision, minimal invasiveness, and sphincter preservation. At DRHC Dubai, we are proud to offer this advanced treatment as part of our commitment to comprehensive and patient-centered colorectal care.

If you are suffering from a persistent or complex anal fistula, book a consultation with our experienced Proctology Specialists to see if VAAFT is the right option for you.

DRHC Dubai – Dubai's Leading Colorectal & Proctology Center

📞 Call Us: +97142798200
📍 Visit Us: Dr Rami Hamed Center, Dubai HealthcareCity
🌐 Website: www.drhc.ae