Özet:

Aim: Anal fistula is a difficult anorectal disease. Anal incontinence and fistula relapse after anal fistula surgery are morbidities feared by surgeons. Many techniques for sphincter preservation such as ligation of the intersphincteric fistula tract, anorectal flap application, and bioprosthetic plugs have been used in an effort to overcome these issues. We aimed to investigate the efficacy and safety of the FiLaC™ method in the treatment of anal fistula in our study. Method: Twenty-seven patients (23 males, 4 females) who underwent FiLaC™ diode laser treatment between December 2013 and December 2014 were retrospectively analyzed for patient age, sex, body mass index, American Society of Anesthesiologists score, duration of operation, fistula types, complications, and patient satisfaction. FiLaC™, a 15-watt laser probe with a wavelength of 1470 nm and a power of 100-120 joules/cm, was applied to the anal fistula patients through the fistula under the spinal anesthesia. Results: Twenty-three of the patients were male and 4 were female and the mean age was 35.55±10.32 years. The mean duration of the surgery was 18.37±5.27 minutes. Intraoperative complications were not reported. The mean follow-up period was 22 (17-26) months. Twenty-four (88.89%) patients fully recovered. The procedure failed in 3 patients (11.11%), at 4 months in 1 patient and at 6 months in another 2 patients. Patient satisfaction was 4.62±1.07. Conclusion: The laser FiLaC™ procedure for anal fistula therapy is a safe, effective, minimally invasive, sphincter-preserving procedure with a high success rate.

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