VAAFT & EPSIT

VAAFT

The VAAFT technique is performed for the surgical treatment of complex anal fistulas and their recurrences. Key points are the correct localization of the internal fistula opening under vision, the fistula treatment from inside, and the hermetic closure of the internal opening. This technique comprises two phases: a diagnostic one and an operative one. There is no need to know the fistula classification which obviously saves time and money. Moreover, surgical wounds in the perianal region are prevented and the risk of faecal incontinence is avoided because no sphincter damages are provoked.

EPSIT

The pilonidal sinus is an acute or chronic inflammation of the subcutaneous adipose tissue, often occurring in the sacrococcygeal region1. EPSiT – Endoscopic Pilonidal Sinus Treatment – proceeds in two phases. In the first – diagnostic – phase, the sinus cavity and the sinus tracts are examined. The aim of the second – therapeutic – phase is to ablate the abscess cavity and to eliminate the fistula2. Both phases are performed under direct endoscopic control.

• The EPSiT technique can be performed in an outpatient setting
• Ablation of the abscess cavity and elimination of the fistula under direct vision
• High patient satisfaction3
• Straightforward, safe, effective and reproducible method of treatment3
• Instruments can also be used to treat anal fistulas (VAAFT technique)