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CREST Weekly – ERAF and Anal Fistula

The latest CREST Weekly Curriculum module, ERAF and Anal Fistula, is now available! Healing the fistula is balanced with preserving continence, therefore excluding primary fistulotomy is many cases. The endorectal advancement flap has been considered the “gold standard” treatment option yet quality data remains elusive and published studies suggest there remains room for improvement in surgical outcomes. There are several variables that can be performed in the technical steps of the operation, including flap thickness, use of a seton, fistulectomy and fibrin glue instillation.