Fistula Recurrence: Why Does It Come Back?

Fistula Recurrence: Why Does It Come Back?

Anal fistula recurrence occurs in 7% to 21% of cases. The most common reasons are incomplete removal of the tract, failure to identify and close the internal opening during surgery and complex branching anatomy that wasn’t fully mapped before the first...
FiLaC vs VAAFT for Fistula: Is One Better?

FiLaC vs VAAFT for Fistula: Is One Better?

FiLaC uses a radial laser probe to obliterate the fistula tract from inside using thermal energy. VAAFT uses a miniature camera to visualise the tract internally, destroy the epithelium under direct vision and close the internal opening. Both are sphincter-preserving....
LIFT Procedure for Fistula: How It Works

LIFT Procedure for Fistula: How It Works

LIFT stands for Ligation of the Intersphincteric Fistula Tract. It treats trans-sphincteric anal fistulas by accessing the tract between the internal and external sphincter muscles, dividing and ligating it there, then curetteing the remaining tract. No sphincter...
External vs Internal Hemorrhoids: How to Tell

External vs Internal Hemorrhoids: How to Tell

External hemorrhoids occur under the skin around the anus and cause pain, itching, burning and palpable lumps. Internal hemorrhoids form inside the rectum. Usually painless. The primary symptom is bright red blood on toilet tissue or in the bowl. External ones are...