Evaluation of Fistula Laser Closure (FiLaC) in Management of High Trans- sphincteric Fistula- in- ano

Background: As a revolutionary sphincter-preserving approach, Wilhelm proposed "Fistula Laser Closure" (FiLaC) in 2016. It uses a radial emitting laser probe and had an initial rate of success of 81.8 percent in 11 patients with a median follow-up of 7.4 months. Aim of the study: To analyze the Fistula Laser Closure (FiLaC) technique's efficacy in treating high trans-sphincteric fistulas in ano, look at the procedure's effects on anal continence, and predictors of success. Patients and methods: This prospective cohort research was conducted between April 2021 and November 2021 on 20 patients with high transsphincteric fistula in ano at the Department of Surgery at Al-Azhar University Hospitals, Cairo, Egypt. Patients received care using the Fistula Laser Closure (FiLaC) procedure, and they were monitored for at least six months after surgery. Results: There was substantial variation between simple and complicated fistula as regards hospital stay, Early incontinence, pain score and patient satisfaction (p