VAAFT: Video-Assisted Anal Fistula Treatment - Dr. Piercarlo Meinero

At this point we completely remove the fistuloscope. The assistant stretches the
threads towards the internal rectal space or rather the anal canal using a straight
forceps in order to lift the internal fistula opening at least 2 cm into the shape of
a volcano. Subsequently, we insert a stapler (e.g. CCS30 Transtar Contour from
ETHICON EndoSurgery) at the volcano’s base (Fig. 22–25) and complete the
mechanical cutting and suturing.
Fig. 22
Fig. 23
Fig. 24 Fig. 25
Fig.24
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