Understanding the Factors Impacting Success Rates of Laser Fistula Surgery
An Evaluation
Keywords:
Laser Fistula Surgery, Fistula, Complications, Quality of life, Hospitalization stay
Abstract
This study aims to evaluate the efficiency of laser treatment for fistulas, a common yet challenging condition due to its recurrent nature. Despite various treatment approaches, a significant knowledge gap exists regarding the long-term success rates and patient quality of life post-surgery. Using clinical data from 87 patients across different hospitals in Iraq, this research employs a retrospective analysis of medical records to assess laser surgery outcomes. The findings reveal that laser fistula surgery has a high success rate (73.56% excellent, 22.99% good) with minimal complications, lower pain levels, and improved quality of life. The results suggest that laser surgery is an optimal treatment for fistulas, offering faster recovery and reduced recurrence rates. These implications highlight the potential of laser treatment as a preferred method, encouraging further adoption and study to enhance surgical outcomes for fistula patients.
References
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C. Zanotti, C. Martinez-Puente, I. Pascual, M. Pascual, D. Herreros, and D. García-Olmo, "An assessment of the incidence of fistula-in-ano in four countries of the European Union," Int. J. Colorectal Dis., vol. 22, pp. 1459–1462, 2007. https://pubmed.ncbi.nlm.nih.gov/17554546
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C. Ratto, F. Litta, L. Donisi, and A. Parello, "Fistulotomy or fistulectomy and primary sphincteroplasty for anal fistula (FIPS): a systematic review," Tech. Coloproctol., vol. 19, pp. 391–400, 2015. https://pubmed.ncbi.nlm.nih.gov/26062740
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G. Z. Heller, M. Manuguerra, and R. Chow, "How to analyze the Visual Analogue Scale: myths, truths, and clinical relevance," Scand. J. Pain, vol. 13, pp. 67–75, 2016. https://pubmed.ncbi.nlm.nih.gov/28850536
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C. H. Santos, F. D. Guimarães, F. H. Barros, G. A. Leme, L. D. Silva, and S. E. Santos, "Efficacy of low-level laser therapy on fistula-in-ano treatment," Arq. Bras. Cir. Dig., vol. 34, 2021. [Online]. Available: https://pubmed.ncbi.nlm.nih.gov/34008713
T. Dönmez and E. Hatipoğlu, "Closure of fistula tract with FiLaC™ laser as a sphincter preserving method in anal fistula treatment," Turk. J. Colorectal Dis., vol. 27, pp. 142–147, 2017. https://scholar.google.com/scholar_lookup?journal=Turk+J+Colorectal+Dis&title=Closure+of+fistula+tract+with+FiLaC%E2%84%A2+laser+as+a+sphincter+preserving+method+in+anal+fistula+treatment&volume=27&publication_year=2017&pages=142-147&
P. Giamundo, L. Esercizio, M. Geraci, L. Tibaldi, and M. Valente, "Fistula-tract Laser Closure (FiLaC™): long-term results and new operative strategies," Tech. Coloproctol., vol. 19, pp. 449–453, 2015. https://pubmed.ncbi.nlm.nih.gov/25724967
P. Meinero and L. Mori, "Video-assisted anal fistula treatment (VAAFT): a novel sphincter-saving procedure for treating complex anal fistulas," Tech. Coloproctol., vol. 15, pp. 417–422, 2011. [Online]. Available: https://pubmed.ncbi.nlm.nih.gov/22002535
A. Lauretta, N. Falco, E. Stocco, R. Bellomo, and A. Infantino, "Anal fistula laser closure: the length of the fistula is the Achilles' heel," Tech. Coloproctol., vol. 22, pp. 933–939, 2018. https://pubmed.ncbi.nlm.nih.gov/30535666
W. Y. Liu, A. Aboulian, A. H. Kaji, and R. R. Kumar, "Long-term results of ligation of intersphincteric fistula tract (LIFT) for fistula-in-ano," Dis. Colon Rectum, vol. 56, pp. 343–347, 2013. https://pubmed.ncbi.nlm.nih.gov/23392149
F. M. Zulkarnain, D. A. Soeselo, Suryanto, and G. G. Singgih, "Case report: complex perianal fistula treated with fistula laser closure (FILAC) and suction catheter," Int. J. Surg. Case Rep., vol. 84, p. 106085, 2021. [Online]. Available: https://pubmed.ncbi.nlm.nih.gov/34186456
M. Eissa and W. H. Salih, "The influence of low-intensity He-Ne laser on wound healing in diabetic rats," Lasers Med. Sci., vol. 32, pp. 1261–1267, 2017. https://pubmed.ncbi.nlm.nih.gov/28547073
S. K. Narang, K. Keogh, N. N. Alam, S. Pathak, I. R. Daniels, and N. J. Smart, "A systematic review of new treatments for cryptoglandular fistula in ano," Surgeon, vol. 15, pp. 30–39, 2017. https://pubmed.ncbi.nlm.nih.gov/26993759
N. Bakhtawar and M. Usman, "Factors increasing the risk of recurrence in fistula-in-ano," Cureus, vol. 11, 2019. [Online]. Available: https://pubmed.ncbi.nlm.nih.gov/31114719
C. R. Mendes, L. S. Ferreira, R. A. Sapucaia, M. A. Lima, and S. E. Araujo, "Video-assisted anal fistula treat-ment: technical considerations and preliminary results of the first Brazilian experience," Arq. Bras. Cir. Dig., vol. 27, pp. 77–81, 2014. [Online]. Available: https://pubmed.ncbi.nlm.nih.gov/24676305
S. R. Steele, R. Kumar, D. L. Feingold, J. L. Rafferty, and W. D. Buie, "Practice parameters for the management of perianal abscess and fistula-in-ano," Dis. Colon Rectum, vol. 54, pp. 1465–1474, 2011. https://pubmed.ncbi.nlm.nih.gov/22067173
F. Aho Fält, A. Zawadzki, M. Starck, M. Bohe, and L. B. Johnson, "Long-term outcome of the Surgisis (Bi-odesign) anal fistula plug for complex cryptoglandular and Crohn's fistulas," Colorectal Dis., vol. 23, pp. 178–185, 2021. [Online]. Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7898619/
D. Wang, G. Yang, J. Qiu, Y. Song, L. Wang, J. Gao, and C. Wang, "Risk factors for anal fistula: a case-control study," Tech. Coloproctol., vol. 18, pp. 635–639, 2014. https://pubmed.ncbi.nlm.nih.gov/24452294
C. Zanotti, C. Martinez-Puente, I. Pascual, M. Pascual, D. Herreros, and D. García-Olmo, "An assessment of the incidence of fistula-in-ano in four countries of the European Union," Int. J. Colorectal Dis., vol. 22, pp. 1459–1462, 2007. https://pubmed.ncbi.nlm.nih.gov/17554546
A. G. Parks, P. H. Gordon, and J. D. Hardcastle, "A classification of fistula-in-ano," Br. J. Surg., vol. 63, pp. 1–12, 1976. https://pubmed.ncbi.nlm.nih.gov/1267867
C. Ratto, F. Litta, L. Donisi, and A. Parello, "Fistulotomy or fistulectomy and primary sphincteroplasty for anal fistula (FIPS): a systematic review," Tech. Coloproctol., vol. 19, pp. 391–400, 2015. https://pubmed.ncbi.nlm.nih.gov/26062740
R. D. Ritchie, J. M. Sackier, and J. P. Hodde, "Incontinence rates after cutting seton treatment for anal fistula," Colorectal Dis., vol. 11, pp. 564–571, 2009. https://pubmed.ncbi.nlm.nih.gov/19175623
Q. Yu, C. Zhi, L. Jia, and H. Li, "Cutting seton versus decompression and drainage seton in the treatment of high complex anal fistula: a randomized controlled trial," Sci. Rep., vol. 12, p. 7838, 2022. [Online]. Available: https://pubmed.ncbi.nlm.nih.gov/35551237
A. Wilhelm, "A new technique for sphincter-preserving anal fistula repair using a novel radial emitting laser probe," Tech. Coloproctol., vol. 15, pp. 445–449, 2011. https://pubmed.ncbi.nlm.nih.gov/21845480
G. Z. Heller, M. Manuguerra, and R. Chow, "How to analyze the Visual Analogue Scale: myths, truths, and clinical relevance," Scand. J. Pain, vol. 13, pp. 67–75, 2016. https://pubmed.ncbi.nlm.nih.gov/28850536
V. Slavin, J. Gamble, D. K. Creedy, and J. Fenwick, "Perinatal incontinence: psychometric evaluation of the International Consultation on Incontinence Questionnaire—Urinary Incontinence Short Form and Wexner Scale," Neurourol. Urodyn., vol. 38, pp. 2209–2223, 2019. https://pubmed.ncbi.nlm.nih.gov/31385364
P. Sheikh, "Controversies in fistula in ano," Indian J. Surg., vol. 74, pp. 217–220, 2012. [Online]. Available: https://pubmed.ncbi.nlm.nih.gov/23730047
S. H. Emile, H. Elfeki, M. Shalaby, and A. Sakr, "A systematic review and meta-analysis of the efficacy and safety of video-assisted anal fistula treatment (VAAFT)," Surg. Endosc., vol. 32, pp. 2084–2093, 2018. https://pubmed.ncbi.nlm.nih.gov/29052068
I. T. Jones, V. W. Fazio, and D. G. Jagelman, "The use of transanal rectal advancement flaps in the management of fistulas involving the anorectum," Dis. Colon Rectum, vol. 30, pp. 919–923, 1987. https://pubmed.ncbi.nlm.nih.gov/3691261
M. D. Aguilar-Martínez, L. Sánchez-Guillén, X. Barber-Valles, et al., "Long-term evaluation of fistulotomy and immediate sphincteroplasty as a treatment for complex anal fistula," Dis. Colon Rectum, vol. 64, pp. 1374–1384, 2021. https://pubmed.ncbi.nlm.nih.gov/34623349
A. Wilhelm, A. Fiebig, and M. Krawczak, "Five years of experience with the FiLaC™ laser for fistula-in-ano management: long-term follow-up from a single institution," Tech. Coloproctol., vol. 21, pp. 269–276, 2017. [Online]. Available: https://pubmed.ncbi.nlm.nih.gov/28271331
H. Chung, T. Dai, S. K. Sharma, Y. Y. Huang, J. D. Carroll, and M. R. Hamblin, "The nuts and bolts of low-level laser (light) therapy," Ann. Biomed. Eng., vol. 40, pp. 516–533, 2012. [Online]. Available: https://pubmed.ncbi.nlm.nih.gov/22045511
C. H. Santos, F. D. Guimarães, F. H. Barros, G. A. Leme, L. D. Silva, and S. E. Santos, "Efficacy of low-level laser therapy on fistula-in-ano treatment," Arq. Bras. Cir. Dig., vol. 34, 2021. [Online]. Available: https://pubmed.ncbi.nlm.nih.gov/34008713
T. Dönmez and E. Hatipoğlu, "Closure of fistula tract with FiLaC™ laser as a sphincter preserving method in anal fistula treatment," Turk. J. Colorectal Dis., vol. 27, pp. 142–147, 2017. https://scholar.google.com/scholar_lookup?journal=Turk+J+Colorectal+Dis&title=Closure+of+fistula+tract+with+FiLaC%E2%84%A2+laser+as+a+sphincter+preserving+method+in+anal+fistula+treatment&volume=27&publication_year=2017&pages=142-147&
P. Giamundo, L. Esercizio, M. Geraci, L. Tibaldi, and M. Valente, "Fistula-tract Laser Closure (FiLaC™): long-term results and new operative strategies," Tech. Coloproctol., vol. 19, pp. 449–453, 2015. https://pubmed.ncbi.nlm.nih.gov/25724967
P. Meinero and L. Mori, "Video-assisted anal fistula treatment (VAAFT): a novel sphincter-saving procedure for treating complex anal fistulas," Tech. Coloproctol., vol. 15, pp. 417–422, 2011. [Online]. Available: https://pubmed.ncbi.nlm.nih.gov/22002535
A. Lauretta, N. Falco, E. Stocco, R. Bellomo, and A. Infantino, "Anal fistula laser closure: the length of the fistula is the Achilles' heel," Tech. Coloproctol., vol. 22, pp. 933–939, 2018. https://pubmed.ncbi.nlm.nih.gov/30535666
W. Y. Liu, A. Aboulian, A. H. Kaji, and R. R. Kumar, "Long-term results of ligation of intersphincteric fistula tract (LIFT) for fistula-in-ano," Dis. Colon Rectum, vol. 56, pp. 343–347, 2013. https://pubmed.ncbi.nlm.nih.gov/23392149
F. M. Zulkarnain, D. A. Soeselo, Suryanto, and G. G. Singgih, "Case report: complex perianal fistula treated with fistula laser closure (FILAC) and suction catheter," Int. J. Surg. Case Rep., vol. 84, p. 106085, 2021. [Online]. Available: https://pubmed.ncbi.nlm.nih.gov/34186456
M. Eissa and W. H. Salih, "The influence of low-intensity He-Ne laser on wound healing in diabetic rats," Lasers Med. Sci., vol. 32, pp. 1261–1267, 2017. https://pubmed.ncbi.nlm.nih.gov/28547073
S. K. Narang, K. Keogh, N. N. Alam, S. Pathak, I. R. Daniels, and N. J. Smart, "A systematic review of new treatments for cryptoglandular fistula in ano," Surgeon, vol. 15, pp. 30–39, 2017. https://pubmed.ncbi.nlm.nih.gov/26993759
N. Bakhtawar and M. Usman, "Factors increasing the risk of recurrence in fistula-in-ano," Cureus, vol. 11, 2019. [Online]. Available: https://pubmed.ncbi.nlm.nih.gov/31114719
C. R. Mendes, L. S. Ferreira, R. A. Sapucaia, M. A. Lima, and S. E. Araujo, "Video-assisted anal fistula treat-ment: technical considerations and preliminary results of the first Brazilian experience," Arq. Bras. Cir. Dig., vol. 27, pp. 77–81, 2014. [Online]. Available: https://pubmed.ncbi.nlm.nih.gov/24676305
Published
2024-07-01
How to Cite
Ridha, A. M. A., Mohammed, D. O., & Dawood, N. J. (2024). Understanding the Factors Impacting Success Rates of Laser Fistula Surgery. Central Asian Journal of Medical and Natural Science, 5(3), 711-720. Retrieved from https://cajmns.centralasianstudies.org/index.php/CAJMNS/article/view/2497
Section
Articles
Copyright (c) 2024 Ali Mohammed Ali Ridha, Dler Omar Mohammed, Nada Jabbar Dawood
This work is licensed under a Creative Commons Attribution 4.0 International License.
