Does a combination of “ligation of intersphincteric fistula tract” with “video assisted fistula tract surgery” offer a minimally invasive cure for fistula in ano. ABSTRACT  Introducion This study was undertaken to evaluate the efficacy of a combined surgical procedure i.e.ligation of intersphincteric fistula tract (LIFT) with video assisted fistula tract surgery (VAFT)] as a minimally invasive procedure for fistula in ano. Methods and Procedures A prospective case series (January 2011-February 2012) of consenting candidates of fistula in ano, having simple straight tracts, with well defined exclusion criteria.

The patients were evaluated with a standard clinical and preoperative diagnostic protocol. They were operated on a day care basis following a standardized perioperative protocol. The fistula tract ablation was done by VAFT till the tract was felt entering into the ano-rectal wall.…