Abstract

Objective: The aim of the blurb is to quarry into the wide array of treatment options for complex anal stulae in order to rank stula laser tract closure[FiLaC] + submucosal ligation of stula tract[SLOFT] amongst them. Crypt Background: oglandular anal stulae with recurrence and multiple tracts is one of the many complexities in the management of anal stulae. FiLaC + SLOFT is a hybrid surgical Materials and methods: option combining benets of ligation of intersphincteric stulous tract[LIFT] technique and distal laser ablation of stulous tract. Submucosal ligation and dismantling of stulous tract takes care of the cryptoglandular source of origin of anal stulae. Distal closure of the tract is ensured by laser ablation on continuous mode. Since the year 2011, FiLaC and LIFT have been Result: individually tried in the treatment of anal stulae, with success rate ranging from 20-75%. Combining the two is conceptually sound in treating complex anal stulae. Excluding cases of Conclusion: intersphincteric abscess/ sepsis, FiLaC + SLOFT has come-up as an assuring operative blend for treating anal stulae.

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