Minimal access techniques are revolutionizing surgical methods and offering significant benefits to patients, including quicker healing and faster recovery time. Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) have emerged as effective methods for treating various metastatic cancers. The use of minimal access surgery in CRS and HIPEC have generally improved perioperative and postoperative outcomes in patients.

##Challenges## A fistula-in-ano is an abnormal hollow tract or cavity connecting a primary opening inside the anal canal to a secondary opening in the perianal skin. These are often a source of concern for both patients and anorectal surgeons because of their high risk of recurrence and postoperative fecal incontinence. ## ##Solution## Video-assisted anal fistula treatment (VAAFT) is a novel minimally invasive technique developed in 2006 which…