Ferrario  Luca,Cestaro  Giovanni,Meinero  Piercarlo,Fasolini  Fabrizio,Marco De Monti,
Video Assisted Anal Fistula Treatment (VAAFT) for Treating a Complex Posttraumatic Anal Fistula: Case Report
American Journal of Surgical Case Reports
2020
2674-5046
http://dx.doi.org/10.31487/j.AJSCR.2020.04.05
https://www.sciencerepository.org/video-assisted-anal-fistula-treatment-vaaft-for-treating-a-complex_AJSCR-2020-4-105 
Abstract: Introduction: Anal fistula is an abnormal pathway that connects the anorectal tract to the perianal skin. The
Park’s classification describes four different types of anal fistulas depending on their links with the sphincter
apparatus. In this paper, we report an interesting case of post-traumatic complex trans-sphincteric fistula
treated with VAAFT procedure.
Case Presentation: A 60-year-old-male patient, from an accidental fall, developed a gluteal abscess with a
high trans-sphincteric anal fistula and a secondary tract leading to a large second abscess located in the right
ischiorectal fossa. An abscess incision was done, and a draining seton was placed in another Institution. The
patient came to our Hospital and underwent surgery using Video Assisted Anal Fistula Treatment (VAAFT)
procedure.
Conclusions: VAAFT is an effective and safe procedure for complex anal fistula, even when they have a
post-traumatic origin.Keywords: Case report, gluteal abscess, complex anal fistula, VAAFT procedure