P427 Quality of life and outcomes following video assisted anal fistula treatment

Published Date: 17th May 2017

Publication Authors: , Rout S, Scott M, Samad A, Chadwick M, Rajaganeshan R

Aim

Video assisted anal fistula treatment (VAAFT) is a novel technique. We performed a prospective longitudinal study with the aim of evaluating outcomes and how quality of life was affected with this treatment.

Method

Patients undergoing VAAFT were entered into a prospective database. A longitudinal study design was employed. Data were collected in structured, one-on-one interviews at one week and one, two and three months after surgery. The QoL scale employed the World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaire.

Results

A total of 40 patients underwent a VAAFT procedure from October 2014 to September 2015 of which 57.5% were trans-sphincteric. On mean follow up of 8.5 months 87.5% had resolution of symptoms. Patients (n = 20) completed quality of life questionnaires. Over the study period, average scores for all QoL improved significantly from 43·5 (SD 6) points at one week to 47·7 (SD 4·8) points at 3 months after surgery (F = 8·3, P < 0·01).

Conclusion

VAAFT allows for assessment of the fistula tract and ablation under vision. It has high healing rates, even in patients that have had multiple previous interventions. The procedure has a very low morbidity and patients are very satisfied with the post-operative recovery.

Joshi, H; Rout, S; Scott, M; Samad, A; Chadwick, M; Rajaganeshan, R. (2017). P427 Quality of life and outcomes following video assisted anal fistula treatment . Colorectal Disease. 18 (S1), 117

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