Journal of Hepatology and Gastrointestinal disorders

Journal of Hepatology and Gastrointestinal disorders
Open Access

ISSN: 2475-3181


Nezar A. Almahfooz

Director MIS surgery of Almowasat privat, Sulaymania and Leader, Almowasat private hospital, Iraq

  • Research Article   
    Anal Sphincter Preserving Fistula Laser Closure FiLaC: First Study in Iraq
    Author(s): Nezar A. Almahfooz

    Perianal fistulas, and specifically high perianal fistulas, remain a surgical treatment challenge. Many techniques have, and still are, being developed to improve outcome after surgery. The ideal surgical treatment for anal fistula should eradicate sepsis and promote healing of the tract, whilst preserving the sphincters and the mechanism of continence. This novel sphincter-saving technique uses an emitting laser probe [Fistula laser closure (FiLaC™), Biolitec, Germany], which destroys the fistula epithelium and simultaneously obliterates the remaining fistula tract. Since the main reason for surgical failure is a persistent fistula tract or remnants of fistula epithelium which were not excised, it was postulated that the benefit of this newly designed radial-emitting laser probe was to eliminate fistula epithelium or any granulation tissue in a circular manner and then, to obli.. View More»

    Abstract PDF