COMPRISON BETWEEN LIGATION OF INTER-SPHICTERIC FISTULA TRACT VERSUS VAAFT+PRP IN HIGH TRANS-SPHINICTERIC FISTULAS IN TERMS OF POST OPERATIVE PAIN, HEALING TIME AND RECRRENCE

Abstract

Background: High trans-sphincteric anal fistulas require specialized treatments but doctors have different surgical methods to choose. 

Objective:  The aim of this study was to investigate LIFT surgery against VAAFT combined with PRP treatment to see what generates fewer postoperative pain and faster recovery alongside lower breakouts for high trans-sphincteric anal fistulas patients. The compare LIFT and VAAFT+PRP in terms of postoperative pain, healing time, and recurrence in patients with high trans-sphincteric anal fistulas.

Methods: A total number of participants was included n=130 randomly divided into 65 participants for each group and studied adults between 20 and 60 years old. A random selection process put participants through either the LIFT procedure or VAAFT+PRP treatment. Our clinical study focused on monitoring patient pain experiences during 1, 7, and 30 days after surgery as well as measuring healing time and fistula reintroduction at 6 and 12 months. We recorded the age, sex, weight status and health history of all included participants. SPSS statistical software 22 assessed differences between the study groups. Results: Patients in the VAAFT+PRP group experienced less pain after surgery along with quicker healing time and lower fistula relapse rates than patients who had LIFT treatment. Patients at 12 months showed 13.8% fistula returns in the VAAFT+PRP group and 27.7% returns within the LIFT group. Each group contained patients with similar basic health information and medical problems. Conclusion: Patients with high trans-sphincteric anal fistulas recover better and experience less pain with VAAFT+PRP compared to LIFT thanks to its ability to control symptoms while minimizing return of the condition. Patients benefit from VAAFT+PRP as their preferred medical option to treat high trans-sphincteric anal fistulas due to successful research results.