Abstract

DISTAL LASER PROXIMAL FISTULOTOMY IN ANOSCROTAL FISTULA: A TARGETED APPROACH FOR COMPLEX PERIANAL FISTULA

*Vd. Shraddha Yadavrao Wanje, Vd. Ramesh Vanaji Ahire

.

Abstract

Anoscrotal fistulas represent a challenging subset of complex perianal fistulas due to their atypical course and proximity to sensitive anatomical structures. The technique of Distal Laser Proximal Fistulotomy (DLPF) offers a hybrid approach that combines the precision of laser ablation with the efficacy of traditional fistulotomy. This article explores the rationale, methodology, and clinical outcomes associated with DLPF in the management of anoscrotal fistulas.

Keywords: Anoscrotal Fistula, Complex Perianal Fistula, Distal Laser Ablation, Proximal, fistulotomy, Sphincter-sparing technique, Fistula-in-ano, Laser Surgery, Minimally invasive Fistula Treatment, Diode Laser.